Lisa Goldman, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180003202 Issued in IL

Practice address

400 Linden Ave Ste 3
Wilmette, IL 60091-3607

Phone

(773) 717-9246

NPI assigned

Apr 14, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1972893618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 N PAULINA ST APT 2A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602351",
            "telephone_number": "773-717-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LINDEN AVE STE 3",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913607",
            "telephone_number": "773-717-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Susan Gody, PH.D.
• Carol S Goldbaum, PH.D., LCSW
• Corrie Adina Goldberg, PH.D.
• Eugene M Goldberg, D.D.S.
• Edi Claire Golden-Gruber, LCSW
• Thomas Joseph Golebiewski Sr.
• Alexandra Golub, LSW
• Alexandra Gonzalez, LSW
• Caroline Gonzalez
• Diane Gruner Goodwin, PSY.D.

• Professional Counselor in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.

Verify at the official NPI Registry.