Mary Lether Goodman

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2024062231 Issued in NC

Practice address

8506 Six Forks Rd Ste 202
Raleigh, NC 27615-3260

Phone

(919) 297-2762

Fax

(910) 500-5238

NPI assigned

Aug 15, 2024

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Holly Hill Hospital LLC

  • Psychiatric Hospital
  • Raleigh, NC
  • NPI 1518037233

  Single Specialty

  Medicare reassignment NPD
• Mindful Healing Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1154191328

  NC, Single Specialty

  Medicare reassignment NPD
• Mindful Healing Group

  • Nurse Practitioner
  • Raleigh, NC
  • NPI 1326919408

  Single Specialty

  NPD
• Thrive & Restore Behavioral Management Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dudley, NC
  • NPI 1982546735
  NPD (past)

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1851123293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LOREASE DR",
            "city": "DUDLEY",
            "state": "NC",
            "postal_code": "283339771",
            "telephone_number": "910-990-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8506 SIX FORKS RD STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153260",
            "telephone_number": "919-297-2762",
            "fax_number": "910-500-5238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8506 Six Forks Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276153260",
            "country_code": "US",
            "telephone_number": "919-297-2762",
            "fax_number": "910-500-5238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MARY",
        "middle_name": "LETHER",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "2024062231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Goodman
• David Goodman, P.A.-C.
• Jay Drew Goodman, PT, SCS
• Kamarie N Goodman
• Kelly Goodman
• Peter Bertram Goodman, LCSW, MSW
• Anna B Goodmon, M.D.
• Jennifer Lee Goodrich, MSW, LCSW
• Katherine R Goodrich
• Goodside Health Medical, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.