Active NPI
Richard Goodman, L.C.P.C.
- Professional Counselor
- Deerfield, IL
National Provider Identifier
1598040941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.006269
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.006269 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard N. Goodman, LCPC, LTD. | Professional | Current | 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.
-
- Professional Counselor
- Lincolnwood, IL
- NPI 1962039974
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.