Individual provider Active NPI

Margrit Herma Goodhand

  • Counselor
  • Tampa, FL
National Provider Identifier
1902128879
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
SW9219 Issued in FL
Practice address
4612 N 56TH St
Tampa, FL 33610-7123
Phone
(813) 626-7250
Fax
(813) 246-5119
NPI assigned
Feb 19, 2010
Last updated
Feb 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SW9219 FL Primary

Addresses

Primary practice location

4612 N 56TH St
Tampa, FL 33610-7123

Mailing address

4612 N 56TH St
Tampa, FL 33610-7123
Phone (813) 626-7250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20120312000719 FL Practitioner - Clinical Social Worker 4284893116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Moon Senior CounselingGroup PAC ID 6103099759, 26 clinicians

Practice addresses (Care Compare)

2057 Edgewater Dr
Clearwater, FL 33755-1028
Phone (727) 446-6514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agency for Community Treatment Services, Inc. CurrentSince Dec 14, 2015 Accepting new patients
Gulf Coast Therapy Connection, PLLC. Past Accepting new patients

Locations

4612 N 56th St
Tampa, FL 33610
Phone (813) 246-4899

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1902128879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107123",
            "telephone_number": "813-626-7250",
            "fax_number": "813-246-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107123",
            "telephone_number": "813-626-7250",
            "fax_number": "813-246-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODHAND",
        "first_name": "MARGRIT",
        "middle_name": "HERMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "SW9219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.