Erin Rachesky Goodson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18107 Issued in FL

Practice address

259 E Oakdale Ave
Crestview, FL 32539-3547

Phone

(850) 682-1234

NPI assigned

May 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Erin Rachesky Stirn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Children'S Home Society of Florida

  • Community/Behavioral Health Agency
  • Wildwood, FL
  • NPI 1881900942
  NPD (past)

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1497192025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E OAKDALE AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325393547",
            "telephone_number": "850-682-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E OAKDALE AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325393547",
            "telephone_number": "850-682-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W Gulf Atlantic Hwy",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "FL",
            "postal_code": "347858158",
            "country_code": "US",
            "telephone_number": "352-748-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Vine Ave NE",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325485070",
            "country_code": "US",
            "telephone_number": "850-863-2873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "ERIN",
        "middle_name": "RACHESKY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH10787",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "STIRN",
            "middle_name": "RACHESKY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mindi Joy Godfrey
• Madelyn Goergen
• Cornisha Goldsmith
• Mia Angelique Gomez
• Jenny R Gonzales, COTA
• Deborah D Goodwin, PT
• Kelly Gordon
• Nikki Windham Grace, ARNP
• Jensen Gramling
• Carrie Ragan Graves

• Mental Health Counselor in Crestview, FL
• Providers in Crestview, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.