Active NPI
Tiffany Goodell, LMHC
- Mental Health Counselor
- Huntington, NY
National Provider Identifier
1952932014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 007955
- Practice address
- 55 Horizon Dr
Huntington, NY 11743-4436 - Phone
- (631) 396-2333
- Fax
- (631) 396-2361
- NPI assigned
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 007955 | NY | Primary |
Addresses
Primary practice location
55 Horizon Dr
Huntington, NY 11743-4436
Mailing address
55 Horizon Dr
Huntington, NY 11743-4436
Phone (631) 396-2333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109000600 | NY | Practitioner - Mental Health Counselor | 4880045418 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Family Service League Inc
Practice addresses (Care Compare)
55 Horizon Dr
Huntington, NY 11743-4436
Phone (631) 369-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007955 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service League, Inc. | Multi-Specialty | Current | Accepting new patients |
Locations
55 Horizon Dr
Huntington, NY 11743
Phone (631) 396-2300
790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Huntington, NY
- NPI 1528093242
Multi-Specialty, NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1952932014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 HORIZON DR",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117434436",
"telephone_number": "631-396-2333",
"fax_number": "631-396-2361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HORIZON DR",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117434436",
"telephone_number": "631-396-2333",
"fax_number": "631-396-2361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODELL",
"first_name": "TIFFANY",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "007955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.