MRS. KIMBERLY S GOODMAN (NPI# 1235563149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235563149 |
Entity Type | Individual |
Full Name | MRS. KIMBERLY S GOODMAN |
Credential | L.C.P.C |
Practice Address |
1153 N. Frontier Ave. Chicago IL 60610 |
Practice Telephone | 7734103753 |
Mailing Telephone | 7734103753 |
Enumeration Date | 2013-08-27 |
Last Update Date | 2013-08-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
180.008418 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164836805 | Kimberly Ann Goodman | Licensed Practical Nurse | 66 Cliff St, Malden, MA 02148-1842 | 2014-06-19 |
1801038336 | Kimberly Goodman | Counselor | 1360 W. Grand River, Howell, MI 48843 | 2009-03-30 |
1043482425 | Kimberly Renee Goodman | Social Worker | 314 N Last Chance Gulch Ste 211b, Helena, MT 59601-5012 | 2008-03-26 |
1053505818 | Kimberly Joyce Goodman | Developmental Therapist | 8319 S Hamilton Ave, Chicago, IL 60620-6025 | 2007-09-04 |
1386296960 | Kimberly Elaine Goodman | Registered Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2019-07-12 |
1427354141 | Kimberly Anne Goodman | Case Manager/Care Coordinator | 327 Sw Frazier Ave, Topeka, KS 66606-1963 | 2011-01-27 |
1497072359 | Kimberly Goodman | Occupational Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2010-04-30 |
1790802767 | Kimberly Parrish Goodman | Pharmacist | 7324 Bell Creek Rd, Mechanicsville, VA 23111-3545 | 2007-03-23 |
Street Address |
1153 N. FRONTIER AVE. |
City | CHICAGO |
State | IL |
Zip Code | 60610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
Find all providers in zip 60610 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
Find all providers in CHICAGO |
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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.