Amber Goodman

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701013891 Issued in VA

Practice address

1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190

Phone

(276) 821-2260

NPI assigned

Aug 21, 2024

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

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healing Waters Counseling CenterGroup PAC ID 9931362399, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Healing Waters Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richlands, VA
  • NPI 1124329388

  VA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1700619145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246090426",
            "telephone_number": "276-821-2260",
            "fax_number": "276-963-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 CEDAR VALLEY DR",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246099190",
            "telephone_number": "276-821-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 E Main St",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242102808",
            "country_code": "US",
            "telephone_number": "276-821-2260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Spring Ave NE",
            "address_purpose": "LOCATION",
            "city": "Wise",
            "state": "VA",
            "postal_code": "242937527",
            "country_code": "US",
            "telephone_number": "276-821-2260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 W Main St",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243822209",
            "country_code": "US",
            "telephone_number": "276-821-2260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Health Care
• Jerry Gray Gilchrist III
• Miranda L Gill, CSAC
• Benjamin Tyler Brandon Goff, RN
• Roy Clement Gomez, MD
• Brittany N Goss
• Susan Gail Green, M.A.
• Jordan Dean Griffith, BA, FF/EMT-B
• Juanita Marie Gross, LCSW
• Kelly Leigh Hackney, LPC

• All providers in Cedar Bluff, VA
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.