Individual provider Active NPI

Shelley Redmond Goffstein, LMHC

  • Mental Health Counselor
  • Iowa City, IA
National Provider Identifier
1922485812
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001468 Issued in IA
Practice address
403 N 7TH Ave
Iowa City, IA 52245-6006
Phone
(319) 338-7518
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001468 IA Primary

Addresses

Primary practice location

403 N 7TH Ave
Iowa City, IA 52245-6006

Mailing address

403 N 7TH Ave
Iowa City, IA 52245-6006
Phone (319) 930-1264

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

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1922485812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N 7TH AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522456006",
            "telephone_number": "319-930-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N 7TH AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522456006",
            "telephone_number": "319-338-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFFSTEIN",
        "first_name": "SHELLEY",
        "middle_name": "REDMOND",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.