Organization Active NPI

Carol Goodman R.N., L.P.C. Counseling

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1912280454
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2528 Issued in OR
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

Updated by the provider on Jul 23, 2021

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.