Tiffany Nicole Keller-Goolsby, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9233 Redtail Dr
Jacksonville, FL 32222-2811

Phone

(904) 619-1887

NPI assigned

Jun 6, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Goolsbys Clinical Services, LLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1174027130
  NPD

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

{
    "created_epoch": "1244246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244246400000",
    "number": "1376779157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9233 REDTAIL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222811",
            "telephone_number": "904-619-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9233 REDTAIL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222811",
            "telephone_number": "904-619-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER-GOOLSBY",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-06",
        "last_updated": "2009-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Frances Keith
• Emily Sarris Kelbert, PA-C
• Danesh K Kella, M.D.
• Heather Kellar, PT, DPT
• Barry Dean Kellem, CBHCM
• Cesar Ariel Keller, M.D.
• Gregory C Keller, M.D.
• Katelyn Elizabeth Keller, PA-C
• Kathleen Keller
• Rachel Keller, PA-C

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.