Ryan Goldman, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC 15898

Practice address

11301 N 99TH Ave
Peoria, AZ 85345-5466

Phone

(623) 977-8373

NPI assigned

Nov 3, 2015

Last updated

Dec 12, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: ryan.goldman.1@24259.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ryan Goldman, PLLC

  • Professional Counselor
  • Surprise, AZ
  • NPI 1265271803
  NPD Authorized official
• Gold Mettle Recovery, LLC

  • Professional Counselor
  • Surprise, AZ
  • NPI 1124779962
  NPD (past)

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449878400000",
    "number": "1710350442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16017 S 45TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 N 99TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455466",
            "telephone_number": "623-977-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "RYAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "LPC 15898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Goldberg
• Stanley J Goldberg, M.D.
• Golden Girls Residential Living
• Golden Palms Residential Care LLC
• Justin M Goldfarb, DO
• Emily Ann Golichowski, PA-C
• Jennifer Mary Golinski, O.T.
• Jessica Gomez
• Angela Gonsalves, DPT
• Brianna Gonzales

• Professional Counselor in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2015; 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.