Individual provider Active NPI

Paula Therese Goodman, LLC

  • Professional Counselor
  • Sterling Heights, MI
National Provider Identifier
1699456459
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6451022922 Issued in MI
Practice address
43329 Schoenherr Rd
Sterling Heights, MI 48313-1959
Phone
(248) 277-5353
NPI assigned
Jul 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 6451022922 MI Primary

Addresses

Primary practice location

43329 Schoenherr Rd
Sterling Heights, MI 48313-1959

Mailing address

3866 Lotus Dr
Waterford, MI 48329-1212
Phone (248) 877-7702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250916000591 MI Practitioner - Mental Health Counselor 2365946217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

40433 Koppernick Rd
Canton, MI 48187-4283

43329 Schoenherr Rd
Sterling Heights, MI 48313-1959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6451022922MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thaar Care Foundation, Inc Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Ameriflex Home Health Care, Inc. PastSince Jul 31, 2023 Accepting new patients

Locations

43329 Schoenherr Rd
Sterling Heights, MI 48313
Phone (248) 277-5353

Organizations & group practices 2

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": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1699456459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3866 LOTUS DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291212",
            "telephone_number": "248-877-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43329 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131959",
            "telephone_number": "248-277-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "PAULA",
        "middle_name": "THERESE",
        "credential": "LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451022922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.