Individual provider Active NPI

Jennifer Good, LPC

  • Counselor
  • Waterford, PA
National Provider Identifier
1659762185
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
007782 Issued in PA
Practice address
412 High St.
Waterford, PA 16441
Phone
(814) 823-1775
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 007782 PA Primary

Addresses

Primary practice location

412 High St.
Waterford, PA 16441

Mailing address

P.O. Box 530
Waterford, PA 16441
Phone (814) 823-1775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105002941 PA Practitioner - Mental Health Counselor 7315398286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Waterford, PA 16441
Phone (814) 738-3418

18 N Park Row
PO Box 530
Waterford, PA 16441-2812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007782PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Goods Counseling Services LLC Counselor CurrentSince Dec 13, 2023 Accepting new patients

Locations

412 High St
Waterford, PA 16441
Phone (814) 823-1775

18 W North Park Row
Waterford, PA 16441
Phone (814) 796-0077

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1659762185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 530",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "16441",
            "telephone_number": "814-823-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 HIGH ST.",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "16441",
            "telephone_number": "814-823-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "007782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, PA

Sources for this page

Verify at the official NPI Registry.