Russell J Goodwin, LPC, LICDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C005220 Issued in OH

Practice address

23240 Chagrin Blvd.
Suite 500
Beachwood, OH 44122-5404

Phone

(216) 292-6007

Fax

(216) 292-7352

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavior Management Associates, Inc

  • Psychologist
  • Beachwood, OH
  • NPI 1144338062
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972613271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23240 CHAGRIN BLVD.",
            "address_2": "SUITE 500",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225404",
            "telephone_number": "216-292-6007",
            "fax_number": "216-292-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23240 CHAGRIN BLVD.",
            "address_2": "SUITE 500",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225404",
            "telephone_number": "216-292-6007",
            "fax_number": "216-292-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "RUSSELL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LPC, LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "83884",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C005220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet M Goodman, PHD
• Demerius Goodwin
• Elizabeth A Goodwin, PCC
• Heidi A Goodwin, MSN CNM CNP
• India Goodwin
• Rajesh Gopalarathinam, MD
• Gordon & Mangan Travelers Clinic, LLC
• Gordon Dental Care, Inc.
• Barry Hale Gordon, PH.D.
• Jessie Gordon, LPCC

• Professional Counselor in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.