Active NPI
December L Goad, LPC
- Mental Health Counselor
- Savannah, GA
National Provider Identifier
1508105289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC009595
- Practice address
- 50 Al Henderson Blvd
Savannah, GA 31419-6001 - Phone
- (912) 417-5787
- NPI assigned
- Jan 31, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 102156 | KY | |
| Mental Health Counselor | 101YM0800X | LPC009595 | GA | Primary |
Addresses
Primary practice location
50 Al Henderson Blvd
Savannah, GA 31419-6001
Mailing address
4217 Accomack Dr
Louisville, KY 40241-1829
Phone (914) 417-5787
Other practice location 1
4217 Accomack Dr
Louisville, KY 40241-1829
Phone (912) 441-7578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100298630 | Medicaid | KY |
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 |
|---|---|---|---|
| LPC009595 | GA | MD | Mental Health Counselor |
| 102156 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DG Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
50 Al Henderson Blvd
Savannah, GA 31419
Phone (912) 200-6643
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Savannah, GA
- NPI 1396257507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1508105289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4217 ACCOMACK DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402411829",
"telephone_number": "914-417-5787",
"fax_number": "855-951-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 AL HENDERSON BLVD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314196001",
"telephone_number": "912-417-5787"
}
],
"practiceLocations": [
{
"address_1": "4217 Accomack Dr",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402411829",
"country_code": "US",
"telephone_number": "912-441-7578",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOAD",
"first_name": "DECEMBER",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-31",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "102156",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC009595",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100298630",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
- Catherine Phoebe Glyn-Jones, RN, IBCLC, RLC, ANLC
- Glynn County Board of Health (Children Medical Services (CMS))
- Shannon M Gnall
- Naveena Gnaniah, BCBA
- Charleen Marie Gnisci, PHARMD
- Sarah Elizabeth Goddard
- Brittany Lee Godfrey, FNP-C
- Sarah Bradlie Godfrey, DC
- Kamilah G Godwin
- Kirk Charles Goebel, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.