Active NPI
Jaymee Goodspeed, LSW
- Social Worker
- Aurora, IL
National Provider Identifier
1497412001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.108920
- Practice address
- 2124 Ogden Ave Ste 200B
Aurora, IL 60504-7542 - Phone
- (888) 428-7890
- NPI assigned
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.108920 | IL | Primary |
Addresses
Primary practice location
2124 Ogden Ave Ste 200B
Aurora, IL 60504-7542
Mailing address
2124 Ogden Ave Ste 200B
Aurora, IL 60504-7542
Phone (888) 428-7890
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 |
|---|---|---|---|
| 150.108920 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Counseling Services, PLLC | Clinical | Past | Accepting new patients |
| Edgewood Clinical Services, P.C. | Clinical | 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.
-
- Adult Mental Health Clinic/Center
- Morris, IL
- NPI 1427205111
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1497412001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 OGDEN AVE STE 200B",
"city": "AURORA",
"state": "IL",
"postal_code": "605047542",
"telephone_number": "888-428-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 OGDEN AVE STE 200B",
"city": "AURORA",
"state": "IL",
"postal_code": "605047542",
"telephone_number": "888-428-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODSPEED, LSW",
"first_name": "JAYMEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2023-03-28",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.108920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.