ELIZABETH A GOODWIN (NPI# 1790122422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790122422 |
| Entity Type | Individual |
| Full Name | ELIZABETH A GOODWIN |
| Credential | PCC |
| Practice Address |
3659 S. Green Rd 100 Beachwood OH 44122 |
| Mailing Address |
3659 Green Rd Ste. 100 Beachwood OH 44122-5727 |
| Practice Telephone | 2163904944 |
| Mailing Telephone | 2163904944 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2014-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E 1000076 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CSWMFT | E 1000076 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841452034 | Elizabeth A Goodwin | Psychologist | Psc 80 Box 10922, Apo, AP 96367-0012 | 2008-06-27 |
| 1043696172 | Elizabeth Goodwin | Nurse Practitioner | 97 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2015-07-30 |
| 1164782181 | Elizabeth K Goodwin | Social Worker | 511 28th Ave E, Seattle, WA 98112-4161 | 2012-05-23 |
| 1669742383 | Elizabeth T Goodwin | Counselor | 402 15th Ave Se Ste 100, Puyallup, WA 98372-3709 | 2012-01-11 |
| 1962650796 | Elizabeth Amanda Goodwin | Rehabilitation Practitioner | 456 Elm Ave, Long Beach, CA 90802-2426 | 2008-09-04 |
| 1154463503 | Elizabeth Mary Goodwin | Physical Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2007-02-13 |
| 1447294590 | Elizabeth H Goodwin | Nurse Practitioner | 1421 N State St, Suite 203, Jackson, MS 39202-1658 | 2006-06-16 |
| 1487698239 | Elizabeth Tanner Goodwin | Dentist | 1317 N Kings Hwy, Suite 106, Myrtle Beach, SC 29577-3636 | 2006-06-15 |
| 1306834064 | Elizabeth W Goodwin | Internal Medicine | 725 Glenwood Dr, Suite 690e, Chattanooga, TN 37404-1163 | 2005-10-07 |
| Street Address |
3659 S. GREEN RD 100 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346897246 | Colleen Monn | Counselor | 21403 Chagrin Blvd Ste 195, Beachwood, OH 44122-5322 | 2019-08-25 |
| 1326602582 | Amy L. Gould, LLC | Counselor | 3659 S Green Road, Suite 101, Beachwood, OH 44122-5715 | 2019-04-23 |
| 1326552837 | Allison West Kaskey | Counselor | 24300 Chagrin Blvd Ste 209, Beachwood, OH 44122-5629 | 2017-11-20 |
| 1063951341 | Partners To Empowerment Wellness Center | Counselor | 3681 Green Rd Ste 406, Beachwood, OH 44122-5716 | 2017-02-20 |
| 1972059301 | Kristina Metcalf | Counselor | 23240 Chagrin Blvd Ste 500, Beachwood, OH 44122 | 2016-08-26 |
| 1861836223 | Neil Jack Lavender | Counselor | 1026 Seaman Ave, Beachwood, NJ 08722-3406 | 2013-04-28 |
| 1972859353 | Christina Renee Hall | Counselor | 3355 Richmond Rd Ste 225, Beachwood, OH 44122-4180 | 2012-08-03 |
| 1477747996 | Frederick Joseph Baddour | Counselor | 3401 Enterprise Parkway, Suite 340, Beachwood, OH 44133-7340 | 2007-08-28 |
| 1003037623 | Melissa Nicole Daniele | Counselor | 23240 Chagrin Boulevard Suite 270, Beachwood, OH 44122 | 2007-05-01 |
| 1164581476 | Amy Christine Kalasunas | Counselor | 23875 Commerce Park, Suite 160, Beachwood, OH 44122-5805 | 2006-12-06 |
| Find all providers in BEACHWOOD | ||||
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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.