Good Kids Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GOOD KIDS INC

Practice address

5203 N Main St
Columbia, SC 29203-4520

Phone

(803) 216-5397

NPI assigned

Aug 10, 2014

Organization subpart

No

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

Authorized official

Name

Robert Wylie

Title

Director

Phone

(803) 530-0277

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407628800000",
    "number": "1801205265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BEAVER CREEK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 N MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292034520",
            "telephone_number": "803-216-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD KIDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-10",
        "last_updated": "2014-08-10",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-530-0277"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrisa Gonzalez, APRN
• Tessa Vera Gonzalez, MD
• Tyler Aaron Gonzalez, M.D., M.B.A.
• Good Deeds Home Health Care LLC
• Good Kids Inc
• Good Samaritan Home Health
• Good Samaritin Medical Transport Services
• Meredith Lynn Good, FNP-C
• Kimberlee Torlanda Goode, MD
• Timothy Goode, LPC

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2014; 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.