Active NPI
Alice M Goff, LPC
- Professional Counselor
- Hattiesburg, MS
National Provider Identifier
1639736804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2390
- Practice address
- 805 W Pine St
Hattiesburg, MS 39401-4260 - Phone
- (601) 268-8796
- Fax
- (601) 336-7563
- NPI assigned
- May 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 2390 | MS | Primary |
Addresses
Primary practice location
805 W Pine St
Hattiesburg, MS 39401-4260
Mailing address
805 W Pine St
Hattiesburg, MS 39401-4260
Phone (601) 268-8796
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1639736804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 W PINE ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394014260",
"telephone_number": "601-268-8796",
"fax_number": "601-336-7563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W PINE ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394014260",
"telephone_number": "601-268-8796",
"fax_number": "601-336-7563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFF",
"first_name": "ALICE",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-23",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.