JESSICA V GOODMAN (NPI# 1487198651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487198651 |
| Entity Type | Individual |
| Full Name | JESSICA V GOODMAN |
| Practice Address |
10221 Compton Ave Suite 104 & 203 Watts CA 90002-2802 |
| Practice Telephone | 2133855100 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
69425 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518314632 | Jessica Goodman | Doula | 3055 Taussig St, San Diego, CA 92124-3660 | 2016-05-18 |
| 1295053908 | Jessica Y Goodman | Social Worker | 252 James St, Fairfield, CT 06824-6475 | 2010-05-06 |
| 1609105774 | Jessica Mui Kwai Goodman | Acupuncturist | 2530 W 29th Ave, Denver, CO 80211-3712 | 2009-12-18 |
| 1518500958 | Jessica Goodman | Behavior Technician | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2019-10-17 |
| 1245797372 | Jessica Goodman | Counselor | 231 N Spring St, Greensboro, NC 27401-2231 | 2019-02-25 |
| 1649743022 | Jessica Goodman | Lactation Consultant, Non-RN | 919 W Zerr Rd, Garden City, KS 67846-2777 | 2019-01-08 |
| 1922535657 | Jessica Goodman | Dentist | 12602 Lake Ridge Dr, Woodbridge, VA 22192-2335 | 2017-05-12 |
| 1871039800 | Jessica Goodman | Specialist/Technologist | 12200 W 106th St, Overland Park, KS 66215-2305 | 2017-01-14 |
| 1053796656 | Jessica Goodman | Pharmacist | 909 David Dr, Metairie, LA 70003-5134 | 2015-07-23 |
| 1407261779 | Jessica Goodman | Student in an Organized Health Care Education/Training Program | 11 Ward St, Somerville, MA 02143-4214 | 2014-06-25 |
| Street Address |
10221 COMPTON AVE SUITE 104 & 203 |
| City | WATTS |
| State | CA |
| Zip Code | 90002-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326176934 | Laura Beth Wilson | Social Worker | 10221 Compton Ave, Suite 104, Watts, CA 90002-2802 | 2007-03-02 |
| 1508105297 | Jessica Sanchez Munoz | Marriage & Family Therapist | 10221 Compton Ave, Suite 104 & 203, Watts, CA 90002-2802 | 2013-01-31 |
| 1245591676 | Davion Mauldin | Case Manager/Care Coordinator | 10221 Compton Ave, Suite 104, Watts, CA 90002-2802 | 2012-06-01 |
| 1194046441 | Blanca Romero | Marriage & Family Therapist | 10221 Compton Ave, Suite 104 & 203, Watts, CA 90002-2802 | 2010-06-21 |
| 1871787119 | Maria Elena Gallegos | Marriage & Family Therapist | 10221 Compton Ave, 104 &203, Watts, CA 90002-2802 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790336253 | Ernest Durden | Technician | 10321 Standford Avenue, Los Angeles, CA 90002 | 2019-09-26 |
| 1114573920 | Sahawneh Dental Corporation | Dentist | 9851 South Alameda, Unit A, Los Angeles, CA 90002 | 2019-08-16 |
| 1003373549 | Bridget Benninger | Marriage & Family Therapist | 10044 Compton Ave., Los Angeles, CA 90002 | 2019-02-20 |
| 1669954400 | Lorena Fajardo | Case Manager/Care Coordinator | 1776 E Century Bolvd, Los Angeles, CA 90002 | 2018-08-29 |
| 1467963256 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2178 Firestone Blvd, Los Angeles, CA 90002 | 2017-10-19 |
| 1699294991 | Priscilla Morales | Marriage & Family Therapist | 10221 Compton Ave Ste 104&203, Los Angeles, CA 90002 | 2017-09-18 |
| 1649795246 | Tara Moore | Counselor | 1968 East 103rd Street, Los Angeles, CA 90002 | 2017-08-04 |
| 1689198673 | Yeny Alexandra Guarin | Social Worker | 1776 East Century Blvd, Los Angeles, CA 90002 | 2017-08-01 |
| 1144771452 | Paulette Madrigal | Case Manager/Care Coordinator | 10044 Compton Ave, Los Angeles, CA 90002 | 2016-10-21 |
| 1134675853 | Jong Cho | Pharmacist | 1645 E. 103rd St, La, CA 90002 | 2016-09-01 |
| Find all providers in zip 90002 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992043707 | Destinie Wiltshire | Counselor | 201 Main Street, Watts, OK 74964 | 2013-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1801497854 | Amor Serra | Counselor | 1543 Colusa Pl, Salinas, CA 93906-2512 | 2020-11-05 |
| 1003417080 | Mary Williams | Counselor | 8032 Twin Oaks Ave, Citrus Heights, CA 95610-0510 | 2020-11-05 |
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1235730813 | Debrah Deans Therapy | Counselor | 1023 H St Ste B5, Sacramento, CA 95814-2815 | 2020-11-02 |
| 1417558974 | Diosa Marriage and Family Therapy PC | Counselor | 14420 Civic Dr Ste 6, Victorville, CA 92392-2384 | 2020-11-02 |
| 1669072302 | Imani Rivers | Counselor | 135 Gateway Ct, Vallejo, CA 94589-4339 | 2020-10-30 |
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1093314536 | Ryan Tyler Corbin | Counselor | 9075 Elk Grove Blvd, Elk Grove, CA 95624-2070 | 2020-10-24 |
| Find all providers with the same taxonomy | ||||
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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.