MARK GOODMAN (NPI# 1518463959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518463959 |
| Entity Type | Individual |
| Full Name | MARK GOODMAN |
| Practice Address |
212 E Monument St Colorado Springs CO 80903-1004 |
| Practice Telephone | 7194470370 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACB.0007979 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215148127 | Mark Norman Goodman | Anesthesiology | 14813 Hollyhock Dr, Oklahoma City, OK 73142-1829 | 2007-05-24 |
| 1578638391 | Mark E. Goodman | Physical Therapy Assistant | 1709 N Walnut St, Hartford City, IN 47348-1359 | 2006-11-21 |
| 1851307813 | Mark Wesley Goodman | Dentist | 801 E Tamarack Rd, Altus, OK 73521-1231 | 2006-07-31 |
| 1629005780 | Mark Goodman | Pediatrics | 3200 Long Beach Blvd, Long Beach, CA 90807-5062 | 2006-06-26 |
| 1629039854 | Mark David Goodman | Psychologist | 125 W. 2nd Avenue, Suite E, Hutchinson, KS 67501-5300 | 2006-03-29 |
| 1801328455 | Mark Ariel Goodman | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219 | 2017-04-03 |
| 1609223908 | Mark Brandon Goodman | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514 | 2016-05-17 |
| 1093158354 | Mark Jeffrey Goodman | Counselor | 210 W Galer St, Seattle, WA 98119-3332 | 2013-04-16 |
| 1568749687 | Mark Goodman | Counselor | 929 Sw Simpson Ave, Bend, OR 97702-3599 | 2011-11-03 |
| 1609018860 | Mark Quincy Goodman | Emergency Medicine | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2009-04-01 |
| Street Address |
212 E MONUMENT ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561320 | Qs Nurses Home Care Services, Inc. | Home Health | 212 E Monument St, Colorado Springs, CO 80903-1004 | 2005-07-13 |
| 1659990323 | Jada Carr | Counselor | 212 E Monument St, Colorado Springs, CO 80903-1004 | 2020-04-13 |
| 1457917346 | Sarah Booth Parker | Counselor | 212 E Monument St, Colorado Springs, CO 80903-1004 | 2019-05-15 |
| 1972099174 | Kristianne Louise Goff | Social Worker | 212 E Monument St, Colorado Springs, CO 80903-1004 | 2018-07-11 |
| 1093223844 | Jessica Lynn Cavinta | Counselor | 212 E Monument St, Colorado Springs, CO 80903-1004 | 2018-01-15 |
| 1053827766 | Jessica Wright | Student in an Organized Health Care Education/Training Program | 212 E Monument St, Colorado Springs, CO 80903-1004 | 2017-12-18 |
| 1629592563 | Insight Services Pllc | Counselor | 212 E Monument St, Colorado Springs, CO 80903-1004 | 2017-08-02 |
| 1952701567 | Maria Louise Dykstra | Counselor | 212 E Monument St, Colorado Springs, CO 80903 | 2014-09-02 |
| 1124433941 | Lorrine Williams | Counselor | 212 E Monument St, Colorado Springs, CO 80903-1004 | 2014-07-01 |
| 1871836874 | Emmele Nicholas | Social Worker | 212 E Monument St, Colorado Springs, CO 80903-1004 | 2013-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808914 | Pamela Weisman | Counselor | 125 N Parkside Dr Ste 202, Colorado Springs, CO 80909-6097 | 2020-07-13 |
| 1942837695 | Laurie Robertson | Counselor | 4564 Laramie Sky Dr, Colorado Springs, CO 80922-2231 | 2020-03-24 |
| 1316598063 | Affinity Therapy Services LLC | Counselor | 2950 Professional Pl Ste 115, Colorado Springs, CO 80904-8106 | 2019-09-24 |
| 1982269338 | Rachel Nicole Jenkins | Counselor | 1026 Maxwell St, Colorado Springs, CO 80906-5554 | 2019-05-01 |
| 1043874480 | Lauren Atencio | Counselor | 2270 La Montana Way Ste 200, Colorado Springs, CO 80918-6735 | 2019-04-30 |
| 1205319787 | Emily Ingram | Counselor | 2226 Golden Gate Grv, Colorado Springs, CO 80918-9400 | 2018-09-11 |
| 1326521246 | Jennifer Routt | Counselor | 803 N Wahsatch Ave Apt 2, Colorado Springs, CO 80903-2966 | 2018-09-07 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1003392408 | Brittany Edmondson | Counselor | 1619 Monterey Rd Apt D, Colorado Springs, CO 80910-4435 | 2018-07-18 |
| 1659867836 | Lisa Hoeffner | Counselor | 6165 Lehman Dr Ste 209, Colorado Springs, CO 80918-5406 | 2018-07-10 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
Please comment or provide details below to improve the information on MARK GOODMAN.
| 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.