Samantha Jordan Goodpaster, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.2002776 Issued in OH

Practice address

4633 Aicholtz Rd
Cincinnati, OH 45244-1447

Phone

(513) 752-1555

NPI assigned

Jul 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Community Mental Health Centers of Warren County, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lebanon, OH
  • NPI 1740278381
  NPD

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1699261735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 AICHOLTZ RD STE 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441560",
            "telephone_number": "513-752-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 AICHOLTZ RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441447",
            "telephone_number": "513-752-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 22nd St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436042706",
            "country_code": "US",
            "telephone_number": "419-255-5623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Nebraska Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436074222",
            "country_code": "US",
            "telephone_number": "419-841-7701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 Kingsview Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450369562",
            "country_code": "US",
            "telephone_number": "513-228-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODPASTER",
        "first_name": "SAMANTHA",
        "middle_name": "JORDAN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1800920-TRNE",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2002776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgoodpaster@solutionsccrc.org",
            "affiliation": "N",
            "address_1": "975 Kingsview Dr",
            "city": "Lebanon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450369562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan Goodman, PT, DPT
• Michael D Goodman, MD
• Richard Paul Goodman, MD
• Caroline Goodpaster, MA, CCC-SLP
• Haley Goodpaster
• Christine Marie Pettit Goodridge, NURSE PRACTITIONER
• Labrei Tosha Goodson
• Richard Stuart Goodstein, D.O.
• Taylor Alexandra Goodstein, MD
• Matthew J Goodwill, P.T.

• Mental Health Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.