Individual provider Active NPI

Julie Goodman, LPC CAADC MAC

  • Counselor
  • Clinton Township, MI
National Provider Identifier
1447432059
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401010586 Issued in MI
Practice address
39425 Garfield Rd Ste 23
Clinton Township, MI 48038-4651
Phone
(800) 693-1916
NPI assigned
Dec 5, 2007
Last updated
Oct 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401010586 MI Primary

Addresses

Primary practice location

39425 Garfield Rd Ste 23
Clinton Township, MI 48038-4651

Mailing address

39425 Garfield Rd Ste 23
Clinton TWP, MI 48038-4651
Phone (586) 213-2598

Other names 1

  • Julie Goodman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20231219002683 MI Practitioner - Mental Health Counselor 7214387182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

6548 Town Ctr Dr
Suite D
Clarkston, MI 48346-4823
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Jan 1, 2024 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 422-1430

22600 Hall Rd
Ste 201
Clinton Twp, MI 48036
Phone (586) 469-5275

39425 Garfield Rd
Ste 23
Clinton Twp, MI 48038
Phone (248) 266-5616

38600 Van Dyke Ave
Ste 101
Sterling Heights, MI 48312
Phone (248) 460-9421

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1447432059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39425 GARFIELD RD STE 23",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384651",
            "telephone_number": "586-213-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39425 GARFIELD RD STE 23",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384651",
            "telephone_number": "800-693-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JULIE",
        "credential": "LPC CAADC MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401010586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "GOODMAN",
            "credential": "LPC CAADC MAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.