MRS. JENNIFER OLLIE GOODRICH


Address: 12610 S Throop St, Calumet Park, IL 60827-6115
Phone: 7737155167

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180010639 IL Behavioral Health & Social Service Providers

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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

Office Location

Street Address 12610 S THROOP ST
City CALUMET PARK
State IL
Zip Code 60827-6115

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City CALUMET PARK
Zip Code 60827

Improve Information

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Dataset Information

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.

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