Individual provider Active NPI

Cassandra Goodwyn, LPC

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1780442467
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013308 Issued in VA
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

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0701013308VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Dimensions Counseling & Consulting LLC Mental Health CurrentSince Aug 3, 2025 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.

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.

Verify at the official NPI Registry.