CASSANDRA F GOODMAN (NPI# 1174944656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174944656 |
| Entity Type | Individual |
| Full Name | CASSANDRA F GOODMAN |
| Credential | LPCC |
| Practice Address |
25700 Science Park Dr Ste 210 Beachwood OH 44122-7328 |
| Mailing Address |
4016 John Ave Cleveland OH 44113-3228 |
| Practice Telephone | 2164501613 |
| Practice Fax Number | 2164501614 |
| Mailing Telephone | 2164501613 |
| Mailing Fax Number | 2164501614 |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | E.0700303-SUPV | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE | E.0700303-SUPV | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 29055 Clemens Rd Ste A, Westlake, OH 441451135 | 2164501613 | 2164501614 |
| Street Address |
25700 SCIENCE PARK DR STE 210 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-7328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528091899 | Boris Royak | Psychiatry & Neurology | 25700 Science Park Dr Ste 210, Beachwood, OH 44122-7328 | 2006-07-09 |
| 1407349236 | Angela Marie Park | Nurse Practitioner | 25700 Science Park Dr Ste 210, Beachwood, OH 44122-7328 | 2018-06-06 |
| 1043674799 | Emily Sykes | Psychiatry & Neurology | 25700 Science Park Dr Ste 210, Beachwood, OH 44122-7328 | 2016-04-08 |
| 1619348414 | Advanced Recovery Concepts LLC | Counselor | 25700 Science Park Dr Ste 210, Beachwood, OH 44122-7328 | 2015-10-19 |
| 1164865341 | Veronica K Baker | Nurse Practitioner | 25700 Science Park Dr Ste 210, Beachwood, OH 44122-7328 | 2013-04-08 |
| 1821219841 | Amit Mohan | Psychiatry & Neurology | 25700 Science Park Dr Ste 210, Beachwood, OH 44122-7328 | 2007-05-01 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356872352 | Andrea Riva Getz | Counselor | Pdc Building 3659 Green Rd, Suite 222, Beachwood, OH 44122 | 2017-03-22 |
| 1376821348 | Melissa E Coan | Counselor | 23360 Chagrin Blvd Ste 102, Beachwood, OH 44122-5537 | 2011-07-25 |
| 1730232406 | Kathy Pender | Counselor | 3690 Orange Pl Ste 410, Beachwood, OH 44122-4465 | 2007-01-18 |
| 1689735508 | Alyssa Mauri Mitchell | Counselor | 3401 Enterprise Pkwy Ste 340, Beachwood, OH 44122-7340 | 2006-12-13 |
| 1780751719 | John W. Angelotta | Counselor | 29325 Chagrin Blvd, Suite 101, Beachwood, OH 44122-4600 | 2006-11-28 |
| 1043824766 | Laurel Greene Kaiser LLC | Counselor | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2020-09-01 |
| 1417586348 | Delila Owens | Counselor | 24100 Chagrin Blvd, Beachwood, OH 44122-5535 | 2020-04-03 |
| 1477106805 | Yael Farkas | Counselor | 29125 Chagrin Blvd, Beachwood, OH 44122-4622 | 2019-07-24 |
| 1013430826 | Hillary Schultz Therapy | Counselor | 3681 Green Rd Ste 404, Beachwood, OH 44122-5716 | 2017-07-24 |
| 1891147179 | Desiree Paschal | Counselor | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 | 2016-07-11 |
| 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.