Clarissa Olivia Gooding-Aytch

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P016310 Issued in NC

Practice address

5169 Tern PL
Fayetteville, NC 28311-1981

Phone

(910) 813-3140

NPI assigned

Jul 9, 2021

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 NC

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nutrans Health LLCGroup PAC ID 2668828641, 3 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.

• Nutrans Health LLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1962101287

  NC

  Medicare reassignment Care Compare group NPD
• Rerooted Counseling Services PLLC

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1710702089

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1356912372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5169 TERN PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5169 TERN PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111981",
            "telephone_number": "910-813-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODING-AYTCH",
        "first_name": "CLARISSA",
        "middle_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Night Medical of Ohio, LLC
• Gooden Mobile Pod NC PLLC
• Rona Gooden
• Sharon Lindsay Gooden, LPC
• Goodhope Behavioral Healthcare Services
• Mysta Goodloe
• Amber Goodman
• Crysta Nadien Goodman, RBT
• Erika P Goodman, MS CCC-SLP
• Kelly Goodman

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.