Individual provider Active NPI

Andranique Lachelle Goodman

  • Professional Counselor
  • Katy, TX
National Provider Identifier
1831690205
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75881 Issued in TX
Practice address
633 E Fernhurst Dr Ste 1304
Katy, TX 77450-1590
Phone
(832) 378-1526
Fax
(713) 583-0990
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 75881 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 75881 TX
Mental Health Counselor 101YM0800X 75881 TX
Case Management Agency 251B00000X 75881 TX

Addresses

Primary practice location

633 E Fernhurst Dr Ste 1304
Katy, TX 77450-1590

Mailing address

24547 Royal Pike Dr
Katy, TX 77493-3163
Phone (832) 378-1526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260112003204 MI Practitioner - Mental Health Counselor 6901382647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

633 E Fernhurst Dr
Suite 1304
Katy, TX 77450-1590

7444 Hackberry Rd
Ann Arbor, MI 48103-4588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75881TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Inner Mind LLC Professional CurrentSince Dec 8, 2025 Accepting new patients
Cooper Health Transport, LLC. Current Accepting new patients
Inner Mind Counselor Current Accepting new patients

Locations

633 E Fernhurst Dr
Ste 1304
Katy, TX 77450
Phone (281) 503-1553

Organizations & group practices 3

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": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1831690205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24547 ROYAL PIKE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933163",
            "telephone_number": "832-378-1526",
            "fax_number": "713-583-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E FERNHURST DR STE 1304",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501590",
            "telephone_number": "832-378-1526",
            "fax_number": "713-583-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ANDRANIQUE",
        "middle_name": "LACHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75881",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "75881",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75881",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "75881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.