Active NPI
Lawrence A Gooding, M.S. & PH.D.
- Professional Counselor
- Fairbanks, AK
National Provider Identifier
1639244114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 133
- Practice address
- 600 University Ave
Suite #4
Fairbanks, AK 99709-3643 - Phone
- (907) 479-8545
- Fax
- (907) 474-8165
- NPI assigned
- Nov 21, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 133 | AK | Primary |
| Respite Care | 385H00000X | 133 | AK | |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 133 | AK |
Addresses
Primary practice location
600 University Ave
Suite #4
Fairbanks, AK 99709-3643
Mailing address
600 University Ave
Suite #4
Fairbanks, AK 99709-3643
Phone (907) 479-8545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133 | AK | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1639244114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 UNIVERSITY AVE",
"address_2": "SUITE #4",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997093643",
"telephone_number": "907-479-8545",
"fax_number": "907-474-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 UNIVERSITY AVE",
"address_2": "SUITE #4",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997093643",
"telephone_number": "907-479-8545",
"fax_number": "907-474-8165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODING",
"first_name": "LAWRENCE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.S. & PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "133",
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "AK",
"license": "133",
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "AK",
"license": "133",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.