Abigail Justine Goode

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60607 Issued in TX

Practice address

1901 Central Dr Ste 160
Bedford, TX 76021-5823

Phone

(682) 289-0546

NPI assigned

Sep 23, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salt and Light Psychological Services PLLCGroup PAC ID 3072908565, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Salt and Light Psychological Services PLLC

  • Clinical Psychologist
  • Bedford, TX
  • NPI 1003583972

  Professional

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1316660442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 WESTBURY DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807058",
            "telephone_number": "817-707-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CENTRAL DR STE 160",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215823",
            "telephone_number": "682-289-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "ABIGAIL",
        "middle_name": "JUSTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey E Glines, DC
• Glow N Grow Therapy PLLC
• Rachel Gnanaprakasam
• Karina Gomez, DO
• Christian Gonzales Gavancho
• Ashley Gordon Prater, LCSW
• Charles Kenneth Gordon, D.O.
• Jack Charles Gordon, M.D.
• Sibonginkosi Goremucheche
• Reedee Granado-Chaney, O.D.

• Clinical Social Worker in Bedford, TX
• Providers in Bedford, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.