Eileen A Goodman, PCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E0004107 Issued in OH

Practice address

2149 Collingwood Blvd
Toledo, OH 43620-1652

Phone

(419) 483-9411

Fax

(419) 483-9247

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Lutheran Social Services of Northwestern Ohio

  • Community/Behavioral Health Agency
  • Lima, OH
  • NPI 1750467916
  NPD
• Cornerstone Counseling of Bellevue, LLC

  • Mental Health Counselor
  • Bellevue, OH
  • NPI 1225200611
  NPD (past)
• Lutheran Social Services of Northwestern Ohio

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1376807313
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1861605933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 COLLINGWOOD BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201652",
            "telephone_number": "419-243-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 COLLINGWOOD BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201652",
            "telephone_number": "419-483-9411",
            "fax_number": "419-483-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "EILEEN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0004107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Goode, STNA
• Danielle Lee Goodell, CNP
• Mary Anne Goodell, RN
• Lucy S Goodenday, M.D.
• Daniel Goodman, DO
• Lynnel C Goodman
• Lerline Goodner
• Laura Beth Goodremont
• Wendy D. Goodrich, FNP-C
• Anni Goodsite

• Professional Counselor in Toledo, OH
• Providers in Toledo, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.