Mara Goodman-Davies

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

359 Fenn St
Administrative Offices
Pittsfield, MA 01201-5261

Phone

(413) 629-1262

Fax

(413) 448-2198

NPI assigned

Nov 11, 2016

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 MA

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mara Therapy LLC

  • Clinical Social Worker
  • Lenox, MA
  • NPI 1386233658
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1891237525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 FENN ST",
            "address_2": "ADMINISTRATIVE OFFICES",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015261",
            "telephone_number": "413-629-1262",
            "fax_number": "413-448-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 FENN ST",
            "address_2": "ADMINISTRATIVE OFFICES",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015261",
            "telephone_number": "413-629-1262",
            "fax_number": "413-448-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN-DAVIES",
        "first_name": "MARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindi Lynn Goldman-Patin, AGNP-C, CRNP, RN,
• Taylor Maxwell Goller
• Jermaine Gomes
• Paula Andrea Gomez Correa, MD
• Glenda Liz Gonzalez-Moreno
• Justine Goodman
• Cyndi Goodrich, MPA
• William B Goodrich, O.D.
• Margaret Reid Gordon-Fogelson
• Jeffrey J Gordon, M.AC.

• Counselor in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.