Meredith Pierson Goodman, M. ED, LPC, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6486 Issued in SC

Practice address

1033 Shine Ave
Suite D
Myrtle Beach, SC 29577-1501

Phone

(843) 742-4988

Fax

(843) 353-3478

NPI assigned

Jan 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Movement Counseling

  • Professional Counselor
  • Myrtle Beach, SC
  • NPI 1891309985
  NPD Authorized official

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1669838348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61298",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276611298",
            "telephone_number": "843-742-4988",
            "fax_number": "843-353-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 SHINE AVE",
            "address_2": "SUITE D",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771501",
            "telephone_number": "843-742-4988",
            "fax_number": "843-353-3478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8480 Honeycutt Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276152261",
            "country_code": "US",
            "telephone_number": "843-742-4988",
            "fax_number": "843-343-3478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MEREDITH",
        "middle_name": "PIERSON",
        "credential": "M. ED, LPC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Francis Gonzales
• Maikol Gonzalez
• Good Samaritan Services LLC
• Good Vibes Therapy Center, LLC
• Diamond Goodman
• Steven Goodman, DC
• Randall Nix Goodroe, M.D.
• Anna Marie Goodwin, DO
• Elizabeth Tanner Goodwin, DMD
• Jessica Gordon, CRNA

• Professional Counselor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.