KARENSA GOODMAN (NPI# 1306112818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306112818 |
| Entity Type | Individual |
| Full Name | KARENSA GOODMAN |
| Credential | NCC, LAPC |
| Practice Address |
323 Roland Rd Jasper GA 30143-5336 |
| Practice Telephone | 7062531112 |
| Practice Fax Number | 7062531120 |
| Mailing Telephone | 7062531112 |
| Mailing Fax Number | 7062531120 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2016-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | APC003171 | GA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC008080 | GA | Behavioral Health & Social Service Providers |
| Street Address |
323 ROLAND RD |
| City | JASPER |
| State | GA |
| Zip Code | 30143-5336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538222971 | Highland Rivers Csb | Community/Behavioral Health | 323 Roland Rd, Jasper, GA 30143-5336 | 2006-12-18 |
| 1013491448 | Markland Aultman | Case Manager/Care Coordinator | 323 Roland Rd, Jasper, GA 30143-5336 | 2018-09-21 |
| 1649725672 | Sonya Smith | Registered Nurse | 323 Roland Rd, Jasper, GA 30143-5336 | 2016-08-19 |
| 1376997833 | Katherine De La Croix | Marriage & Family Therapist | 323 Roland Rd, Jasper, GA 30143-5336 | 2016-04-20 |
| 1669830030 | Hannah Marie Dunn | Case Manager/Care Coordinator | 323 Roland Rd, Jasper, GA 30143-5336 | 2016-02-01 |
| 1386009397 | Jennifer Smith | Social Worker | 323 Roland Rd, Jasper, GA 30143-5336 | 2015-12-17 |
| 1295109593 | Pamela Watkins | Counselor | 323 Roland Rd, Jasper, GA 30143-5336 | 2015-11-24 |
| 1215301528 | Cam Dowling Parks | Counselor | 323 Roland Rd, Jasper, GA 30143-5336 | 2015-11-24 |
| 1437419702 | Kimberly Lisle Martin | Counselor | 323 Roland Rd, Jasper, GA 30143-5336 | 2012-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1598363434 | Amanda J Griggs | Massage Therapist | 54 Wolfscratch Village, Jasper, GA 30143 | 2020-10-13 |
| 1801397724 | Jema Day | Nurse Practitioner | 620 J L White Dr Ste 140, Jasper, GA 30143 | 2018-02-26 |
| 1023467545 | North Georgia Personal Care LLC | Home Health | 501 North Main St., Suite B, Jasper, GA 30143 | 2016-06-06 |
| 1871979641 | Sj & J Spine and Pain Group Holding LLC | Pain Medicine | 91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143 | 2015-08-04 |
| 1801294293 | Highland Recovery Center | Community/Behavioral Health | 323 Roland Road, Jasper, GA 30143 | 2014-12-17 |
| 1770905861 | Leslie Rhea Hanagan | Speech-Language Pathologist | 22 Dogwood Lane, Jaser, GA 30143 | 2014-01-09 |
| 1669800660 | Pickens County Chiropractic | Chiropractor | 95 North Main Street, Jasper, GA 30143 | 2013-10-29 |
| 1407139264 | Rocky Mountain Holdings LLC | Ambulance | 70 Airport Business Court, Jasper, GA 30143 | 2011-09-27 |
| 1851681415 | Richard J Vandam | Internal Medicine | 1266 Highway 515, Piedmont Mountainside Hospital, Jasper, GA 30143 | 2011-04-15 |
| Find all providers in zip 30143 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851781264 | Marguerite Braden | Counselor | 1318 Northwood Dr, Jasper, TX 75951-2525 | 2015-01-24 |
| 1407269376 | Ryan Swartz | Counselor | 1435 Old Grandview Rd, Jasper, GA 30143-6600 | 2014-06-08 |
| 1619279619 | Kathy Wheeler-scruggs | Counselor | 1105 7th Ave, Jasper, AL 35501-4378 | 2010-11-23 |
| 1033348503 | Pamela D Smith | Counselor | 1611 Alabama Ave, Jasper, AL 35501-4719 | 2009-07-06 |
| 1669678413 | Sacred Mountain Partners, LLC | Counselor | 340 Pine Crest Rd, Jasper, GA 30143-2662 | 2007-06-26 |
| 1801923958 | Jessicca May Shumard | Counselor | 310 E Grand Ave, Jasper, MO 64755 | 2007-02-27 |
| 1952480105 | Andrew M Harrell Sr. | Counselor | 11180 Ne 38th St, Jasper, FL 32052-2502 | 2006-11-06 |
| 1003800210 | Susan E Mcculley | Counselor | 459 W Houston St, Jasper, TX 75951-3510 | 2005-09-01 |
| 1457343535 | Robin Wesley Dunn | Counselor | 505 Cove Rd, Suite 3, Jasper, GA 30143-1363 | 2005-08-16 |
| 1104824341 | Nicole Fairchild | Counselor | 600 School St, Jasper School District, Jasper, AR 72641-8802 | 2005-07-12 |
| Find all providers in JASPER | ||||
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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.