Organization Active NPI

Goods Counseling Services LLC

  • Counselor
  • Waterford, PA
National Provider Identifier
1588055057
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
GOODS COUNSELING SERVICES LLC
Practice address
412 High St.
Waterford, PA 16441
Phone
(814) 823-1775
NPI assigned
Feb 5, 2015
Organization subpart
Yes
Parent organization
GOODS COUNSELING SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Jennifer Good, LPCNPI 1659762185
Title
Owner
Phone
(814) 796-2136

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X PA Primary

Addresses

Primary practice location

412 High St.
Waterford, PA 16441

Mailing address

P.O. Box 530
Waterford, PA 16441
Phone (814) 823-1775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240105000244 PA Part B Supplier - Clinic/Group Practice 6507217478 Receives reassigned benefits from 1 practitioner
Practice locations: Waterford, PA

National Provider Directory

National Provider Directory
Part of
Goods Counseling Services LLC

Locations

18 W North Park Row
Waterford, PA 16441
Phone (814) 796-0077

412 High St
Waterford, PA 16441
Phone (814) 823-1775

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": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1588055057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 530",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "16441",
            "telephone_number": "814-823-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 HIGH ST.",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "16441",
            "telephone_number": "814-823-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODS COUNSELING SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOODS COUNSELING SERVICES LLC",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-796-2136",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.