Active NPI
Keara Goode, NCC, LPCA
- Professional Counselor
- Greenville, NC
National Provider Identifier
1447896121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A15337
- Practice address
- 920 Woodridge Park Rd Ste B
Greenville, NC 27834-0056 - Phone
- (252) 214-1098
- NPI assigned
- Nov 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A15337 | NC | Primary |
Addresses
Primary practice location
920 Woodridge Park Rd Ste B
Greenville, NC 27834-0056
Mailing address
920 Woodridge Park Rd Ste B
Greenville, NC 27834-0056
Phone (252) 214-1098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A15337 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Therapeutics | Current | Accepting new patients | |
| Children'S Home Society of NC | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Roanoke Rapids, NC
- NPI 1255023172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1447896121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 WOODRIDGE PARK RD STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278340056",
"telephone_number": "252-214-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 WOODRIDGE PARK RD STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278340056",
"telephone_number": "252-214-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "KEARA",
"name_prefix": "Ms.",
"credential": "NCC, LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-18",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A15337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.