Active NPI
Sharon Goldie, LPC
- Professional Counselor
- Bellmawr, NJ
National Provider Identifier
1528400405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00616300
- Practice address
- 124 Kennedy Blvd
Bellmawr, NJ 08031-1121 - Phone
- (856) 933-0249
- NPI assigned
- Jul 22, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37AC00138700 | NJ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00316200 | NJ | |
| Professional Counselor | 101YP2500X | 37PC00616300 | NJ | Primary |
Addresses
Primary practice location
124 Kennedy Blvd
Bellmawr, NJ 08031-1121
Mailing address
124 Kennedy Blvd
Bellmawr, NJ 08031-1121
Phone (856) 933-0249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00138700 | NJ | MD | Counselor |
| 37LC00316200 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 37PC00616300 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Therapy LLC | Professional | Current | Accepting new patients |
Locations
2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1528400405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 KENNEDY BLVD",
"city": "BELLMAWR",
"state": "NJ",
"postal_code": "080311121",
"telephone_number": "856-933-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 KENNEDY BLVD",
"city": "BELLMAWR",
"state": "NJ",
"postal_code": "080311121",
"telephone_number": "856-933-0249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDIE",
"first_name": "SHARON",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-22",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00138700",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00316200",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00616300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellmawr, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.