Individual provider Active NPI

Richard Goodman, L.C.P.C.

  • Professional Counselor
  • Deerfield, IL
National Provider Identifier
1598040941
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.006269 Issued in IL
Practice address
939 Deerfield Rd
1-S
Deerfield, IL 60015-4103
Phone
(847) 444-0107
NPI assigned
Oct 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.006269 IL Primary

Addresses

Primary practice location

939 Deerfield Rd
1-S
Deerfield, IL 60015-4103

Mailing address

939 Deerfield Rd
1-S
Deerfield, IL 60015-4103
Phone (847) 444-0107

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240814001992 IL Practitioner - Mental Health Counselor 7113465725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7101 N Cicero Ave
Suite 203
Lincolnwood, IL 60712-2144
Phone (847) 650-1995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.006269ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard N. Goodman, LCPC, LTD. Professional CurrentSince Jul 1, 2024 Accepting new patients

Locations

7101 N Cicero Ave
Ste 203
Lincolnwood, IL 60712
Phone (312) 493-2628

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": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1598040941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 DEERFIELD RD",
            "address_2": "1-S",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154103",
            "telephone_number": "847-444-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 DEERFIELD RD",
            "address_2": "1-S",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154103",
            "telephone_number": "847-444-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "RICHARD",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.006269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.