Lia Goodloe

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CI44130824 Issued in CA

Practice address

123 Alta Mesa Dr
Vista, CA 92084-5318

Phone

(760) 472-2698

NPI assigned

Dec 7, 2024

Last updated

Dec 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1733529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1851107593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ALTA MESA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845318",
            "telephone_number": "760-472-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ALTA MESA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845318",
            "telephone_number": "760-472-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODLOE",
        "first_name": "LIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-07",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CI44130824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Gonzalez, B.A. IN SOCIOLOGY
• Sergio Gonzalez, CATC I
• Tiffany Gonzalez Sr.
• Lydia Lombardi Good, MSW, LCSW, BCD
• Marguerite Marie Goodban
• Elihu Goretsky, MFT
• Mary Elizabeth Gould, RN BSN PHN
• Beth Larocque Graalman, MS, OTRL
• Melina Marie Gradilla
• Chanel Ruth Grant, LMFT

• Addiction (Substance Use Disorder) Counselor in Vista, CA
• Providers in Vista, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

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