Katie Lynn Goodman, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9507 Issued in MA

Practice address

354 Washington St. Suite 221
Wellesley, MA 02481-1733

Phone

(802) 318-6030

NPI assigned

Sep 1, 2011

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1801177043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 WASHINGTON ST. SUITE 221",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 WASHINGTON ST. SUITE 221",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811733",
            "telephone_number": "802-318-6030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Front St",
            "address_2": "Suite 490",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081733",
            "country_code": "US",
            "telephone_number": "508-799-2934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Roa Gomez
• Rosangela Gomez
• Goodhaven Health PLLC
• Rashel Goodkin, MD
• Elyse Goodman, NP
• Adrienne-Leigh Davis Gordon
• Ida P Gorenburg, M.D.
• Danielle E Gorman
• James R Gorman, M.D.
• Mary Ellen Gorman, RN CS MS

• Mental Health Counselor in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.