DR. JEANETTE ANDERSON GOOD (NPI# 1629264452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629264452 |
| Entity Type | Individual |
| Full Name | DR. JEANETTE ANDERSON GOOD |
| Credential | LPC PHD |
| Practice Address |
884 Broadway South Portland ME 04106 |
| Mailing Address |
146 W Grand Avenue Ocean Park Meadows #24 Old Orchard Beach ME 04064 |
| Practice Telephone | 2077671165 |
| Mailing Telephone | 2079349882 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
LP 2072 | ME | Behavioral Health & Social Service Providers |
| Street Address |
884 BROADWAY |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205858180 | Lee Katherine Nicoloff | Psychologist | 884 Broadway, South Portland, ME 04106-4371 | 2006-07-23 |
| 1205293222 | Rachel Ann Putnam | Massage Therapist | 884 Broadway, Suite 15, South Portland, ME 04106-4371 | 2016-01-21 |
| 1225329097 | Cailin E O'connor | Massage Therapist | 884 Broadway, South Portland, ME 04106-4371 | 2011-04-27 |
| 1902094345 | Deborah Ann Knighton Tallarico | Counselor | 884 Broadway, South Portland, ME 04106-4371 | 2007-10-10 |
| 1407049182 | Charles Robert Schneider | Social Worker | 884 Broadway, Office Number 2, South Portland, ME 04106-4371 | 2007-08-24 |
| 1730301938 | Patricia B Macdonald | Counselor | 884 Broadway, South Portland, ME 04106-4371 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174085252 | Kristi Lee Whitten-drummond | Counselor | 1 Lilac Ln, Fairfield, ME 04937-3254 | 2019-04-05 |
| 1659757094 | Dana C. Reed | Counselor | 46 Lotts Dr, Windham, ME 04062-4887 | 2015-08-08 |
| 1457613317 | Cameron Scranton Linen | Counselor | 9 Wisteria Cir, Falmouth, ME 04105-1443 | 2012-06-15 |
| 1881900967 | Ronald D Petersen | Counselor | 143 Washington St, Limerick, ME 04048-3502 | 2010-08-26 |
| 1992806111 | David Christopher Bellville | Counselor | 4 Stanwood St, Brunswick, ME 04011-2846 | 2006-09-26 |
| 1164533766 | Charles Waite Maclin | Counselor | 39 Deering St, Portland, ME 04104 | 2006-08-31 |
| 1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
| 1215953203 | Richard H. Hall | Counselor | 291 Federal St, Wiscasset, ME 04578-4008 | 2006-07-14 |
| 1831198266 | Joseph S Roberts | Counselor | 95 India St, Third Floor, Portland, ME 04101-4250 | 2005-07-18 |
| 1265625586 | Carol Jones Sherman | Counselor | 6 State St, Bangor, ME 04401-5112 | 2007-08-21 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on DR. JEANETTE ANDERSON GOOD.
| 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.