KRISTINA C GOODALL (NPI# 1396061198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396061198 |
| Entity Type | Individual |
| Full Name | KRISTINA C GOODALL |
| Practice Address |
1500 Highway 17 N Suite 104 Surfside Beach SC 29575-6081 |
| Practice Telephone | 8433338624 |
| Mailing Telephone | 8433338624 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2016-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5728 | SC | Behavioral Health & Social Service Providers |
| Street Address |
1500 HIGHWAY 17 N SUITE 104 |
| City | SURFSIDE BEACH |
| State | SC |
| Zip Code | 29575-6081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568575009 | Ars Holdings, LLC | Durable Medical Equipment & Medical Supplies | 1500 Highway 17 N, Suite 207, Surfside Beach, SC 29575-6081 | 2006-08-17 |
| 1821263989 | John L. Pavy | Dentist | 1500 Highway 17 N, The Courtyard 101, Surfside Beach, SC 29575-6081 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956561 | Adam Christian | Student in an Organized Health Care Education/Training Program | 611 S Hollywood Dr., Surfside Beach, SC 29575 | 2020-06-11 |
| 1740824481 | Latasha Irene Jones | Home Health | 1180 5th Ave N Ext, Unit I, Surfside Beach, SC 29575 | 2019-11-06 |
| 1518430693 | Surfside Counseling, LLC | Counselor | 1500 North Hwy 17 Business, Suite 104, Surfside Beach, SC 29575 | 2019-01-10 |
| 1316424393 | Mobile Medical PC | Clinic/Center | 1991 Glenns Bay Rd Ste 102b, Myrtle Beach, SC 29575 | 2018-07-23 |
| 1841786845 | Eva C Yu | Acupuncturist | 1514 Us-17 Bus, Surfside Beach, SC 29575 | 2018-07-03 |
| 1295262053 | Johanna Moeller | Speech-Language Pathologist | 8703 Highway 17 Bypass S, Suite I, Myrtle Beach, SC 29575 | 2017-05-11 |
| 1104227560 | Office Align Incorporated | Chiropractor | 8733 Bypass 17, Surfside Beach, SC 29575 | 2014-09-04 |
| 1972923738 | Walmart | Pharmacy | 125 Maryport Drive, Myrtle Beach, SC 29575 | 2014-04-21 |
| 1164719472 | South Beach Dental Office Inc. | Dentist | 8848 Hwy 17 Bypass, Surfside Beach, SC 29575 | 2011-07-07 |
| 1083943815 | Prs II, LLC | Physical Therapist | 3076 Dick Pond Road Unit 4, Myrtle Beach, SC 29575 | 2009-12-07 |
| Find all providers in zip 29575 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430693 | Surfside Counseling, LLC | Counselor | 1500 North Hwy 17 Business, Suite 104, Surfside Beach, SC 29575 | 2019-01-10 |
| 1245744671 | Mynd Health LLC | Counselor | 1012 16th Ave Nw Ste 127, Surfside Beach, SC 29575-5285 | 2017-11-21 |
| 1629441670 | Amy Mccray | Counselor | 1904 Highway 17 N, Suite C, Surfside Beach, SC 29575-6084 | 2015-11-12 |
| 1114977394 | Timothy William Loebs | Counselor | 1945 Glenns Bay Rd, Surfside Beach, SC 29575-4833 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960484 | Sharon Kristen Gregory | Counselor | 1003 Landfall Way Ste A, Seabrook Island, SC 29455-6323 | 2020-10-21 |
| 1518565928 | Family and Individual Therapeutic Healing LLC | Counselor | 300 Long Pointe Ln Ste 220-b, Columbia, SC 29229-7543 | 2020-10-16 |
| 1972101632 | Sherita Vondale Dudley Riley | Counselor | 2 Holly Hock Ct, Irmo, SC 29063-9477 | 2020-10-15 |
| 1346848504 | New Wind Counseling, LLC | Counselor | 203 Richfield Ter, Greer, SC 29650-3746 | 2020-10-11 |
| 1073120861 | John Napier Schumacher | Counselor | 121 Hillock Ct, Lexington, SC 29073-6969 | 2020-09-25 |
| 1174130298 | Emily Zoino | Counselor | 12 Maple Tree Ct Ste 101, Greenville, SC 29615-4079 | 2020-09-24 |
| 1093321150 | Cynthia Roark | Counselor | 1021 Pinnacle Point Dr Ste 120, Columbia, SC 29223-5740 | 2020-09-23 |
| 1497360507 | Susana Bryce Sharpley | Counselor | 3897 Maidstone Dr, Mount Pleasant, SC 29466-7558 | 2020-09-15 |
| 1144835547 | Kim Everard | Counselor | 105 Brookbend Rd, Mauldin, SC 29662-1625 | 2020-09-11 |
| 1538773536 | Jamie Ann Manko | Counselor | 1400 Crowndale Dr, Sumter, SC 29150-1874 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
| City | SURFSIDE BEACH |
| Zip Code | 29575 |
Please comment or provide details below to improve the information on KRISTINA C GOODALL.
| 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.