Jessica Goodwin, MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

10814 72ND Ave Ste 2
Forest Hills, NY 11375-5301

Phone

(347) 392-4482

Fax

(347) 392-4492

NPI assigned

Jul 18, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1457031171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7635 113TH ST APT 3G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756520",
            "telephone_number": "929-442-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10814 72ND AVE STE 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755301",
            "telephone_number": "347-392-4482",
            "fax_number": "347-392-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "JESSICA",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Gonzalez
• Ronnie Stephanie Goodfriend, EDD
• Shashana Gooding
• Tamara Goodman, M.D.
• Carole Goodsmith, L.C.S.W.
• Heather E Gordon, LMHC
• Luba Gorsky
• Karoline Gostl, LAC.
• Vladimir Gotlieb, MD
• Jay Galbraith Gould Jr., PH D

• Mental Health Counselor in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.