Active NPI
Kori Noelle Gooden, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1659728913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 67724
- Practice address
- 1315 Nasa Pkwy Apt 176
Houston, TX 77058-3159 - Phone
- (225) 620-7804
- NPI assigned
- May 17, 2016
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 67724 | TX | Primary |
Addresses
Primary practice location
1315 Nasa Pkwy Apt 176
Houston, TX 77058-3159
Mailing address
8676 Goodwood Blvd Suite 105
Alternate Therapeutic Solutions, LLC
Baton Rouge, LA 70806-7900
Phone (225) 636-5817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67724 | Other | TX | LICENSED CLINICAL SOCIAL WORKER CREDENTIAL |
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 |
|---|---|---|---|
| 67724 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1659728913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8676 GOODWOOD BLVD SUITE 105",
"address_2": "ALTERNATE THERAPEUTIC SOLUTIONS, LLC",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708067900",
"telephone_number": "225-636-5817",
"fax_number": "866-507-9329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 NASA PKWY APT 176",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583159",
"telephone_number": "225-620-7804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODEN",
"first_name": "KORI",
"middle_name": "NOELLE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "67724",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER CREDENTIAL",
"identifier": "67724",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.