Jessica Nicole Goode, LPC-A
Individual provider Active NPI Professional Counselor · Rutherfordton, NC
NPI 1669962809 · NPPES record last updated May 14, 2018
Key facts
- NPI
- 1669962809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- A13887 (NC)
- Practice address
- 301 General Griffith Cir
Rutherfordton, NC 28139-9273 - Phone
- (828) 447-7815
- NPI assigned
- May 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A13887 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourishing Lives Counseling, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A13887 | NC | Yes |
Addresses
Primary practice location
301 General Griffith Cir
Rutherfordton, NC 28139-9273
Mailing address
301 General Griffith Cir
Rutherfordton, NC 28139-9273
Phone (828) 447-7815
Other providers in Rutherfordton, NC
- Jason Phillip Glover
- Abigail F Gonzales
- Shannon Gonzalez
- Wifredo Gonzalez
- Gregory Blake Goode
- Cassandra Marie Graeff
- Lindsey Morgan Grant
- Ray Grant
- Steven William Green
- Betsy Lee Greenwood
All providers in Rutherfordton, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.