ALYSSA GOODMAN (NPI# 1538610209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538610209 |
| Entity Type | Individual |
| Full Name | ALYSSA GOODMAN |
| Credential | LCPC |
| Practice Address |
201 E North Ave Flora IL 62839 |
| Mailing Address |
Po Box 155 Christopher IL 62822-0155 |
| Practice Telephone | 6186628386 |
| Practice Fax Number | 6186624338 |
| Mailing Telephone | 6187241624 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2019-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180010544 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1325 W Whittaker St, Salem, IL 628812007 | 3096819432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568009603 | Alyssa A Goodman | Social Worker | 7565 Courthouse Rd, Spotsylvania, VA 22551-2706 | 2019-12-09 |
| 1770014102 | Alyssa Goodman | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Pediatrics, Albany, NY 12208-3412 | 2017-03-27 |
| Street Address |
201 E NORTH AVE |
| City | FLORA |
| State | IL |
| Zip Code | 62839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528048105 | Christopher Greater Area Rural Health Planning Corp | Counselor | 201 E North Ave, Flora, IL 62839-2030 | 2006-01-19 |
| 1760038178 | Carmen Stanley | Registered Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2019-08-12 |
| 1760997399 | Jennifer Smith | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2017-12-05 |
| 1275042277 | Betty M Harrelson | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2017-09-22 |
| 1902274699 | Mary Sachs | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2015-09-11 |
| 1316314933 | Marlissa Boyles | Nurse Practitioner | 201 E North Ave, Flora, IL 62839-2030 | 2015-08-31 |
| 1275878860 | Karli Jo Eskew | Registered Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2012-12-07 |
| 1093099863 | Lisa Jo Davis | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2011-09-28 |
| 1407171788 | Linda S Siemer | Nurse Practitioner | 201 E North Ave, Flora, IL 62839-2030 | 2010-03-30 |
| 1831411172 | Ella M Mix | Registered Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2010-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887455 | Gayla Kay Dunaway | Occupational Therapist | 232 Givens Dr, Flora, IL 62839 | 2013-09-09 |
| 1952652349 | Health Care Management Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 408 E 4th St, Rosewood Estates, Flora, IL 62839 | 2012-09-25 |
| 1437445947 | Gaurav Nigam | Family Medicine | 911 Stacy Burk Drive, Flora, IL 62839 | 2011-06-22 |
| 1831413947 | Philip K.c. Chung | Obstetrics & Gynecology | 116 East 4th, Floria, IL 62839 | 2010-03-18 |
| 1669672465 | Heritage Woods LLC | Assisted Living Facility | 1003 West 4th Street, Flora, IL 62839 | 2007-07-19 |
| 1043365968 | Martin Dental Associates PC | Dentist | 501 North Main Street, Flora, IL 62839 | 2007-01-23 |
| 1518047356 | Linda L Robards | Registered Nurse | Clay Medical Center, 201 E N Avenue, Flora, IL 62839 | 2006-10-16 |
| 1144312000 | Valerie Jill Henderson | Registered Nurse | 201 E N Avenue, Clay Medical Center, Flora, IL 62839 | 2006-09-29 |
| 1164523221 | Kimberly Ann Greenwalt | Licensed Practical Nurse | 201 E N Ave, Clay Medical Center, Flora, IL 62839 | 2006-09-25 |
| 1558879676 | Melissa Kay Laslie | Registered Nurse | 911 Stacy Burk Drive, Flora, IL 62839 | 2018-01-11 |
| Find all providers in zip 62839 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467649400 | James R Tarpley | Counselor | 118 W North Ave, Flora, IL 62839-1612 | 2007-10-03 |
| 1568659506 | Patricia D Hassebrock | Counselor | 118 W North Ave, Flora, IL 62839-1612 | 2007-10-03 |
| 1841487865 | Ashley Vanblaricum | Counselor | 901 W 3rd St, Flora, IL 62839-1287 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1124629696 | Audra Murphy | Counselor | 1020 E Ogden Ave Ste 204, Naperville, IL 60563-8610 | 2020-11-02 |
| 1811597412 | Mindy Marie Eastling | Counselor | 27240 Dutton Rd, Beecher, IL 60401-5054 | 2020-11-01 |
| 1306446307 | Oak Point Counseling, Pllc | Counselor | 1207 Mchenry Rd Ste 217b, Buffalo Grove, IL 60089-1371 | 2020-10-28 |
| 1508466061 | Kathrin Simac | Counselor | 900 Royal Heights Rd # 2150, Belleville, IL 62226-5457 | 2020-10-26 |
| 1669071288 | Kristin Smith Warden | Counselor | 566 Cedar St, Winnetka, IL 60093-2338 | 2020-10-24 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1568061612 | Donnie L Winget | Counselor | 536 N Division St, Carterville, IL 62918-1006 | 2020-10-20 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
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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.