MRS. JENNIFER OLLIE GOODRICH (NPI# 1184188419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184188419 |
Entity Type | Individual |
Full Name | MRS. JENNIFER OLLIE GOODRICH |
Credential | LCPC |
Practice Address |
12610 S Throop St Calumet Park IL 60827-6115 |
Practice Telephone | 7737155167 |
Enumeration Date | 2019-01-31 |
Last Update Date | 2019-01-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
180010639 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225585409 | Jennifer Goodrich | Counselor | 39 Freezeland View Ln, Linden, VA 22642-6081 | 2016-09-06 |
1205102746 | Jennifer Marie Goodrich | Speech-Language Pathologist | 7819 Conser Place, Overland Park, KS 66204 | 2012-03-29 |
1588221642 | Jennifer Jean Goodrich | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-05-23 |
1174002976 | Jennifer Goodrich | Nurse Practitioner | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2018-08-13 |
1144735606 | Jennifer Lee Goodrich | Social Worker | 7406 Chapel Hill Rd Ste F, Raleigh, NC 27607-5039 | 2017-12-06 |
1558611939 | Jennifer Goodrich | Counselor | 9040 Jackson Ave, Mamc, Dobh, C/l, Tacoma, WA 98431-1000 | 2012-09-13 |
1467733063 | Jennifer Goodrich | Emergency Medicine | 1700 Clinton St, Muskegon, MI 49442-5502 | 2011-09-09 |
1003077587 | Jennifer Lynn Goodrich | Otolaryngology | 8901 Rockville Pike, Nnmc, Bethesda, MD 20889-0001 | 2008-06-18 |
1144424631 | Jennifer Goodrich | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2007-06-11 |
1548481674 | Jennifer Goodrich | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Rm 1107g W Wing, Chapel Hill, NC 27514-4220 | 2007-05-02 |
Street Address |
12610 S THROOP ST |
City | CALUMET PARK |
State | IL |
Zip Code | 60827-6115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942759758 | Lanette Newman | Driver | 14411 S Lasalle St, Riverdale, IL 60827 | 2016-09-22 |
1053771519 | Klr Transport LLC | Non-emergency Medical Transport (VAN) | 14241 Stewart Ave, Riverdale, IL 60827 | 2016-02-26 |
1487998316 | Sherry Coleman | Counselor | 1007 West 123rd Street, Calumet Park, IL 60827 | 2012-11-15 |
1275756850 | Bruce Michael Cable | Dentist | 100 W 144th St, Riverdale, IL 60827 | 2007-04-11 |
1548377716 | Lolita A Wilburn | Chiropractor | 12647 S Justine, Calumet Park, IL 60827 | 2006-08-24 |
1598720088 | Infinite Imaging Inc | Clinic/Center | 1029 E 30th St, Chicago, IL 60827 | 2006-04-19 |
1194000299 | Neal's Transportation | Non-emergency Medical Transport (VAN) | 13401 S Halsted St, Riverdale, IL 60827-1121 | 2011-10-20 |
1982048526 | Denise Simpson | Occupational Therapy Assistant | 13751 S Lowe Ave, Riverdale, IL 60827-1188 | 2013-04-25 |
1144883943 | Kenika Lionta Carter | Developmental Therapist | 13246 S Praire Av, Chicago, IL 60827-1246 | 2019-04-17 |
1164897302 | Helping Hands Enterprises LLC | Non-emergency Medical Transport (VAN) | 13246 S Langley Ave, Chicago, IL 60827-1336 | 2015-12-13 |
Find all providers in zip 60827 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457952194 | Hope Kravetz | Counselor | 815 Belinder Ln, Schaumburg, IL 60173-6360 | 2020-11-07 |
1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
1831798404 | Erin Frasco | Counselor | 622 Davis St # 200, Evanston, IL 60201-4491 | 2020-10-23 |
1568061224 | Alternative Counseling Solutions, Inc | Counselor | 6469 E Mccormick Rd, Stillman Valley, IL 61084-9736 | 2020-10-22 |
1396344537 | Janet M Wills | Counselor | 223 N Prospect Ave, Streamwood, IL 60107-4103 | 2020-10-19 |
1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
Find all providers with the same taxonomy |
City | CALUMET PARK |
Zip Code | 60827 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.