Active NPI
Cassandra Goodwyn, LPC
- Professional Counselor
- Richmond, VA
National Provider Identifier
1780442467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701013308
- Practice address
- 2002 Bremo Rd Ste 204
Richmond, VA 23226-2441 - Phone
- (804) 919-0902
- NPI assigned
- Mar 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701013308 | VA | |
| Professional Counselor | 101YP2500X | 0701013308 | VA | Primary |
Addresses
Primary practice location
2002 Bremo Rd Ste 204
Richmond, VA 23226-2441
Mailing address
6401 Willow Landing Way
Chester, VA 23831-7805
Phone (804) 873-1686
Other practice location 1
2002 Bremo Rd Ste 204
Richmond, VA 23226-2441
Phone (804) 919-0902
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701013308 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Dimensions Counseling & Consulting LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Richmond, VA
- NPI 1215810320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1780442467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 WILLOW LANDING WAY",
"city": "CHESTER",
"state": "VA",
"postal_code": "238317805",
"telephone_number": "804-873-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 BREMO RD STE 204",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232262441",
"telephone_number": "804-919-0902"
}
],
"practiceLocations": [
{
"address_1": "2002 Bremo Rd Ste 204",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232262441",
"country_code": "US",
"telephone_number": "804-919-0902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODWYN",
"first_name": "CASSANDRA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-07",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701013308",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701013308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.