Individual provider Active NPI

Sonya Goodpaster, LPC

  • Mental Health Counselor
  • Enterprise, AL
National Provider Identifier
1447746995
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4129 Issued in AL
Practice address
1405 Rucker Blvd
Enterprise, AL 36330-2236
Phone
(334) 417-0212
Fax
(334) 417-0213
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4129 AL Primary

Addresses

Primary practice location

1405 Rucker Blvd
Enterprise, AL 36330-2236

Mailing address

1210 Rucker Blvd
Enterprise, AL 36330-3625
Phone (334) 494-8039

Other practice location 1

1210 Rucker Blvd
Enterprise, AL 36330
Phone (334) 494-8039

Other practice location 2

100 Fawn St
Enterprise, AL 36330-2233
Phone (334) 417-0212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 17, 2025 through Sep 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4129ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Counseling, LLC Current Accepting new patients

Locations

1210 Rucker Blvd
Enterprise, AL 36330
Phone (334) 417-0236

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1447746995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 RUCKER BLVD",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363303625",
            "telephone_number": "334-494-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 RUCKER BLVD",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302236",
            "telephone_number": "334-417-0212",
            "fax_number": "334-417-0213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Rucker Blvd",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "36330",
            "country_code": "US",
            "telephone_number": "334-494-8039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Fawn St",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "363302233",
            "country_code": "US",
            "telephone_number": "334-417-0212",
            "fax_number": "334-417-0213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODPASTER",
        "first_name": "SONYA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "4129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.