Active NPI
Lisa M Goodan, LPCC
- Professional Counselor
- Ashland, KY
National Provider Identifier
1982998803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1570
- Practice address
- 700 Wheatley Rd
Ashland, KY 41101-2348 - Phone
- (606) 327-1732
- NPI assigned
- Jun 8, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C. 0600446 | OH | |
| Mental Health Counselor | 101YM0800X | 1570 | KY | |
| Professional Counselor | 101YP2500X | 1570 | KY | Primary |
Addresses
Primary practice location
700 Wheatley Rd
Ashland, KY 41101-2348
Mailing address
700 Wheatley Rd
Ashland, KY 41101-2348
Phone (606) 327-1732
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C. 0600446 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 1570 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Professional Counseling Services, PLLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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.
-
- Professional Counselor
- Ashland, KY
- NPI 1003218546
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1982998803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 WHEATLEY RD",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012348",
"telephone_number": "606-327-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WHEATLEY RD",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012348",
"telephone_number": "606-327-1732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODAN",
"first_name": "LISA",
"middle_name": "M",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-08",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "C. 0600446",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "1570",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "1570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.