Marjorie Goodloe, RESIDENT IN COUNS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0704015702 Issued in VA

Practice address

14411 Justice Rd Ste B
Midlothian, VA 23113-6907

Phone

(434) 962-9730

NPI assigned

Mar 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Marjorie Boehlert Former name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

University of Virginia School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rubicon Counseling LLCGroup PAC ID 4385084417, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Rubicon Counseling LLC

  • Professional Counselor
  • Midlothian, VA
  • NPI 1912592957
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1508567710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 OLD WESTRIDGE DR",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231202340",
            "telephone_number": "434-962-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 JUSTICE RD STE B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136907",
            "telephone_number": "434-962-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODLOE",
        "first_name": "MARJORIE",
        "name_prefix": "Mrs.",
        "credential": "RESIDENT IN COUNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704015702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARJORIE",
            "last_name": "BOEHLERT",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mario H Gomez, M.D.
• Rachael Gonzales, RBT
• Bailey Marie Gonzalez, FNP-C
• Good Night Sleep & Oral Appliance of Virginia, PLC
• Susan Jarrett Goodenberger, LMFT
• Theresa Goodman, MA
• Sandra Goolsby, LCSW
• Lawrence William Gooss IV, D.O.
• Ashley Marie Gordon, LPTA
• Sarah Gordon

• Counselor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.