Active NPI
Chandra Leshell Goodwin, M.A., LPC-I
- Mental Health Counselor
- Columbia, SC
National Provider Identifier
1477972909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5861
- Practice address
- 4021 Percival Rd
Apt 621
Columbia, SC 29229-8363 - Phone
- (704) 808-1833
- NPI assigned
- Apr 14, 2014
- Last updated
- Apr 14, 2014
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5861 | SC | Primary |
Addresses
Primary practice location
4021 Percival Rd
Apt 621
Columbia, SC 29229-8363
Mailing address
4021 Percival Rd
Apt 621
Columbia, SC 29229-8363
Phone (704) 808-1833
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5861 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397433600000",
"number": "1477972909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4021 PERCIVAL RD",
"address_2": "APT 621",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298363",
"telephone_number": "704-808-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4021 PERCIVAL RD",
"address_2": "APT 621",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298363",
"telephone_number": "704-808-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "CHANDRA",
"middle_name": "LESHELL",
"credential": "M.A., LPC-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-14",
"last_updated": "2014-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "5861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.