Jennifer Lee Goan, LSW-C

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LC16394 Issued in ME

Practice address

70 Cape Road
Raymond, ME 04071

Phone

(207) 591-9107

NPI assigned

Mar 31, 2011

Sex

Female

Sole proprietor

Yes

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.

• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1760507297
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2017.

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1497044366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405025",
            "telephone_number": "207-783-9141",
            "fax_number": "207-376-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CAPE ROAD",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "04071",
            "telephone_number": "207-591-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOAN",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "LC16394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin Hagopian Draper, OTRL
• Mary-Therese C Duffy, LCPC
• Edward Michael Friedman, D.O.
• Nichelle Gardner, LCPC
• Glenn Therapy, P.a.
• Barbara Harding Loux, LCSW
• Katie Elizabeth Hunter I, C-LCPC
• Andrew W Jarman, LCPC
• JC Mobility Solutions LLC
• Stacy Jensen, MS

• All providers in Raymond, ME
• Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.