Active NPI
Scott I Goldsmith, M.S., LPC
- Professional Counselor
- Manchester, CT
National Provider Identifier
1700975810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 000820
- Practice address
- 200 Main St
Manchester, CT 06042-3581 - Phone
- (860) 646-9668
- Fax
- (860) 643-4074
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000820 | CT | Primary |
Addresses
Primary practice location
200 Main St
Manchester, CT 06042-3581
Mailing address
21 Marlboro Glade
Tolland, CT 06084-3554
Phone (860) 875-1418
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 281894 | Other | CT | MENTAL HEALTH NETWORK |
| 240000820CT02 | Other | CT | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000820 | CT | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700975810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MARLBORO GLADE",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060843554",
"telephone_number": "860-875-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060423581",
"telephone_number": "860-646-9668",
"fax_number": "860-643-4074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSMITH",
"first_name": "SCOTT",
"middle_name": "I",
"name_prefix": "Mr.",
"credential": "M.S., LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "000820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH NETWORK",
"identifier": "281894",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "240000820CT02",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.