Organization Active NPI

G.O.O.D. Life Therapy,PLLC

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1780307561
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
G.O.O.D. LIFE THERAPY,PLLC
Practice address
5 Centerview Dr Ste 181
Greensboro, NC 27407-3709
Phone
(336) 582-0599
NPI assigned
Sep 26, 2022
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Brittney Crossen, LCMHC-ANPI 1124740782
Title
Owner/Therapist
Phone
(336) 908-9493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5 Centerview Dr Ste 181
Greensboro, NC 27407-3709

Mailing address

4410 Wolf Run Dr
Greensboro, NC 27406-8095

Other practice location 1

4410 Wolf Run Dr
Greensboro, NC 27406-8095
Phone (336) 908-9493

National Provider Directory

National Provider Directory

Locations

5 Centerview Dr
Ste 181
Greensboro, NC 27407
Phone (336) 582-0599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1780307561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 WOLF RUN DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTERVIEW DR STE 181",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073709",
            "telephone_number": "336-582-0599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4410 Wolf Run Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274068095",
            "country_code": "US",
            "telephone_number": "336-908-9493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "G.O.O.D. LIFE THERAPY,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "CROSSEN",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "336-908-9493",
        "authorized_official_credential": "LCMHC-A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.