Antoinette Gooden, LPC, NCC, MAC, ACS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC005074 Issued in GA

Practice address

6000 Stewart Parkway
#6777
Douglasville, GA 30135-6777

Phone

(404) 692-1014

Fax

(404) 393-1868

NPI assigned

Nov 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: antoinettegooden@tdh.allscriptsdirect.net

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.

• Progression Psychological & Behavioral Health Group

  • Community/Behavioral Health Agency
  • Vermillion, SD
  • NPI 1578342259

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Antoinette Gooden Consulting & Counseling Services, LLC

  • Professional Counselor
  • Douglasville, GA
  • NPI 1689815623

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1659552651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6777",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301540030",
            "telephone_number": "404-692-1014",
            "fax_number": "404-393-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 STEWART PARKWAY",
            "address_2": "#6777",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301356777",
            "telephone_number": "404-692-1014",
            "fax_number": "404-393-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODEN",
        "first_name": "ANTOINETTE",
        "credential": "LPC, NCC, MAC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-18",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "MAC 508018",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "NCC 236587",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "GA",
            "license": "SRS P12 683283",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": "508018",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Day Counseling and Consulting, LLC
• Robin Golden-Bass
• Chantay Yolanda Golson, LPC, CAMS
• Jacie Gomeyac, RBT
• Gabriella Gomez, M.S., L.P.C.
• Anna Goodman Williams
• James Goodman
• April S Goodridge
• Colleen A. Goodwin, OT
• Mary Louise Goodwin, RN

• Professional Counselor in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.