Active NPI
Milena P. Goa, ATR-BC, LCPAT
- Art Therapist
- Beltsville, MD
National Provider Identifier
1881009512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- ATC066
- Practice address
- 5010 Sunnyside Ave
Suite 201
Beltsville, MD 20705-2320 - Phone
- (301) 474-0060
- NPI assigned
- Jun 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | ATC066 | MD | Primary |
| Art Therapist | 221700000X | 001438 | NY |
Addresses
Primary practice location
5010 Sunnyside Ave
Suite 201
Beltsville, MD 20705-2320
Mailing address
5010 Sunnyside Ave
Suite 201
Beltsville, MD 20705-2320
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
| License | State | Type | Specialty |
|---|---|---|---|
| ATC066 | MD | MD | Art Therapist |
| 001438 | NY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicultural Counseling & Consulting Center LLC | Past | Accepting new patients | |
| Multicultural Counseling & Consulting Center, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Beltsville, MD
- NPI 1407274657
-
- Preferred Provider Organization
- Beltsville, MD
- NPI 1063730349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1881009512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 SUNNYSIDE AVE",
"address_2": "SUITE 201",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207052320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 SUNNYSIDE AVE",
"address_2": "SUITE 201",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207052320",
"telephone_number": "301-474-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOA",
"first_name": "MILENA",
"middle_name": "P.",
"credential": "ATR-BC, LCPAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-20",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "MD",
"license": "ATC066",
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "001438",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.