Thomas G Goodman, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

19383 Issued in TX

Practice address

1309 S University Dr
Nacogdoches, TX 75961-6486

Phone

(936) 560-5668

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Texas Community Health Services IncGroup PAC ID 9830089796, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• East Texas Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nacogdoches, TX
  • NPI 1255367090

  Professional

  Medicare reassignment Care Compare group NPD
• East Texas Community Health Services, Inc

  • Community/Retail Pharmacy
  • Nacogdoches, TX
  • NPI 1457216665
  NPD
• Counseling Center of East Texas PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lufkin, TX
  • NPI 1871236810
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1508941212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632040",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759632040",
            "telephone_number": "936-585-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 S UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759616486",
            "telephone_number": "936-560-5668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Sayers St",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759041137",
            "country_code": "US",
            "telephone_number": "936-899-5368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1719478-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "7514LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glory Financial Services
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• Brian J Glymph, MD
• Gabriela L Gonzales
• Madelun Goodman
• Pamela Gorham
• Brent James Gotcher
• Debra K Gove, LCSW
• Cheyanne Goyen, LAT, ATC
• Grace in Motion Rehab LLC

• Professional Counselor in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.