Individual provider Active NPI

Andrea Goodman-Urane, RMHCI

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1811722804
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH26319 Issued in FL
Practice address
436 Brooke Hampton Dr
Tallahassee, FL 32311-7304
Phone
(904) 502-3024
NPI assigned
Sep 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH26319 FL Primary

Addresses

Primary practice location

436 Brooke Hampton Dr
Tallahassee, FL 32311-7304

Mailing address

436 Brooke Hampton Dr
Tallahassee, FL 32311-7304
Phone (904) 502-3024

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
IMH26319FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1811722804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 BROOKE HAMPTON DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323117304",
            "telephone_number": "904-502-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 BROOKE HAMPTON DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323117304",
            "telephone_number": "904-502-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN-URANE",
        "first_name": "ANDREA",
        "credential": "RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH26319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.