GOOD-ELLIOTT COUNSELING, LLC (NPI# 1659876126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659876126 |
Entity Type | Organization |
Organization Name | GOOD-ELLIOTT COUNSELING, LLC |
Practice Address |
313 S 3rd St Goshen IN 46526-3709 |
Practice Telephone | 5745350880 |
Practice Fax Number | 5745350882 |
Mailing Telephone | 5745350880 |
Mailing Fax Number | 5745350882 |
Enumeration Date | 2018-03-27 |
Last Update Date | 2018-03-27 |
Authorized Official Name | PHILIP DAVID GOOD-ELLIOTT (OWNER) |
Authorized Official Telephone | 5745350880 |
Authorized Official Credential | MSW, LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
34004467A | IN | Ambulatory Health Care Facilities |
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
340004467A | IN | Ambulatory Health Care Facilities |
Street Address |
313 S 3RD ST |
City | GOSHEN |
State | IN |
Zip Code | 46526-3709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992741649 | Holly D Yoder | Social Worker | 313 S 3rd St, Goshen, IN 46526-3709 | 2006-06-21 |
1154827129 | Kevin Moore Counseling, LLC | Social Worker | 313 S 3rd St, Goshen, IN 46526-3709 | 2018-03-30 |
1215458138 | Julie Bergan Counseling LLC | Clinic/Center | 313 S 3rd St, Goshen, IN 46526-3709 | 2017-06-30 |
1346784006 | Julie Bergan | Social Worker | 313 S 3rd St, Goshen, IN 46526-3709 | 2016-12-14 |
1992102016 | Anne Thiel | Naturopath | 313 S 3rd St, Fl 2, Goshen, IN 46526-3709 | 2014-12-04 |
1841310471 | Stefanie G Wade | Psychologist | 313 S 3rd St, Goshen, IN 46526-3709 | 2007-03-29 |
1154452910 | Kevin Moore | Social Worker | 313 S 3rd St, Goshen, IN 46526-3709 | 2007-03-07 |
1033126446 | Philip David Good-elliott | Social Worker | 313 S 3rd St, Goshen, IN 46526-3709 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
Find all providers in zip 46526 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
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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.