Active NPI
Carol Goodman R.N., L.P.C. Counseling
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1912280454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C2528
- Legal business name
- CAROL GOODMAN R.N., L.P.C. COUNSELING
- Practice address
- 997 Tiara St
Eugene, OR 97405-6309 - Phone
- (541) 683-0952
- NPI assigned
- Sep 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carol S Goodman, LPC
- Title
- President
- Phone
- (541) 683-0952
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C2528 | OR | Primary |
Addresses
Primary practice location
997 Tiara St
Eugene, OR 97405-6309
Mailing address
997 Tiara St
Eugene, OR 97405-6309
Phone (541) 683-0952
Other names 1
- Carol Goodman R.N., L.P.C. Counseling and Psychotherapy Services, LLC
National Provider Directory
National Provider DirectoryLocations
492 E 13th Ave
Ste 107
Eugene, OR 97401
Phone (541) 383-3008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626998400000",
"number": "1912280454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "997 TIARA ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974056309",
"telephone_number": "541-683-0952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 TIARA ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974056309",
"telephone_number": "541-683-0952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROL GOODMAN R.N., L.P.C. COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-21",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-683-0952",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C2528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carol Goodman R.N., L.P.C. Counseling and Psychotherapy Services, LLC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Carol Goodman R.N., L.P.C. Counseling and Psychotherapy Services, LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.