Emily Goode, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP10588 Issued in MD

Practice address

6568 Pennacook CT
Columbia, MD 21045-4516

Phone

(410) 206-1243

NPI assigned

Jul 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 20, 2024 through Jun 20, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Moonlit Counseling, LLC

  • Community/Behavioral Health Agency
  • Columbia, MD
  • NPI 1861235111
  NPD Authorized official

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1619548989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6568 PENNACOOK CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454516",
            "telephone_number": "410-206-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6568 PENNACOOK CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454516",
            "telephone_number": "410-206-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "EMILY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LCP12754",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP10588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesenia Gonzalez, RN
• Good Day Family Dental, LLC
• Michael Good
• Rezvaneh Goodarzi, CRNP
• Eleshiea Regenia Goode
• Arianne Goodier Hebert
• Abrielle R Goodman, BT
• Ja'Neil Goodman
• Michelle Christina Goodman, RN
• Ellen Fuss Goodrich

• Mental Health Counselor in Columbia, MD
• Providers in Columbia, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.