Azaleah Goose, APCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APCC11952 Issued in CA

Practice address

2903 Sacramento St
Berkeley, CA 94702-2509

Phone

(510) 269-7726

NPI assigned

Aug 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bonita House, Inc.

  • Case Management Agency
  • Oakland, CA
  • NPI 1053526715
  NPD

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1508532466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 LAKE PARK AVE UNIT 10694",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946108025",
            "telephone_number": "510-269-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 SACRAMENTO ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022509",
            "telephone_number": "510-269-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOSE",
        "first_name": "AZALEAH",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC11952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karole Goodman
• Matthew Reader Goodman, PH.D.
• Jonathan Goodrich
• Benjamin Ashby Goodrum, CNM, FNP
• Karen M Goodwin, D.O.
• Elizabeth Ava Gordon, ASW
• Gail F Gordon, PT
• Jeremy Gordon, MFT
• Marisa S Gordon, LMFT
• Rachel Caroline Gordon

• Mental Health Counselor in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.