NPIMap

Organization Active NPI

Katherine Goodman Counseling LLC

  • Professional Counselor
  • Glastonbury, CT
National Provider Identifier
1558723395
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002807 Issued in CT
Legal business name
KATHERINE GOODMAN COUNSELING LLC
Practice address
33 Pratt St
Glastonbury, CT 06033-1014
Phone
(203) 247-3996
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Mrs. Katherine Brewer Goodman, LPCNPI 1578923678
Title
Owner
Phone
(203) 247-3996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 002807 CT Primary

Addresses

Primary practice location

33 Pratt St
Glastonbury, CT 06033-1014

Mailing address

345 Buckland Hills Dr
12222
Manchester, CT 06042-8704
Phone (203) 247-3996

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1558723395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BUCKLAND HILLS DR",
            "address_2": "12222",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428704",
            "telephone_number": "203-247-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PRATT ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331014",
            "telephone_number": "203-247-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE GOODMAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "BREWER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-247-3996",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.