MS. MARTHA MITCHELL GOODMAN (NPI# 1760683429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760683429 |
| Entity Type | Individual |
| Full Name | MS. MARTHA MITCHELL GOODMAN |
| Credential | LPC |
| Practice Address |
111 Sunset Ave # A Camden NC 27921-9641 |
| Practice Telephone | 2523362457 |
| Mailing Telephone | 2523362457 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 2262 | NC | Behavioral Health & Social Service Providers |
| X | 101YS0200X |
Counselor Specialization: School |
39973 | NC | Behavioral Health & Social Service Providers |
| Street Address |
111 SUNSET AVE # A |
| City | CAMDEN |
| State | NC |
| Zip Code | 27921-9641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689858573 | Camden County Dept. Social Services | Case Management | 117 North Highway 343, Camden, NC 27921 | 2007-12-27 |
| 1043417496 | Bradley D Isbister | Family Medicine | 100 Plank Bridge Road, Camden, NC 27921 | 2007-06-29 |
| 1578604492 | Camden County Schools | Local Education Agency (LEA) | 175 North Hwy 343, Camden, NC 27921 | 2007-02-12 |
| 1629122437 | Albemarle Mental Health Center | Social Worker | 160-a Camden Medical Park, Camden, NC 27921 | 2007-01-22 |
| 1104907021 | Albemarle Regional Health Services | Home Health | 160 Us 158e, Bldg B, Camden, NC 27921 | 2006-10-18 |
| 1265513329 | Albemarle Regional Health Services | Clinic/Center | 160 Us 158 E, Bldg B, Camden, NC 27921 | 2006-10-17 |
| 1295246544 | Todds Pharmacy of Camden, Inc | Pharmacy | 100 Plank Bridge Road, Camden, NC 27921 | 2017-10-13 |
| 1740701929 | Todds Pharmacy of Camden, Inc | Pharmacy | 100 Plank Bridge Road, Suite A, Camden, NC 27921 | 2017-06-28 |
| 1376902684 | St. Jude's Ministries Inc. | Counselor | 207 Hwy 343 South, Church of The Redeemer Camden, Camden, NC 27921 | 2016-02-15 |
| 1902951163 | Albemarle Mental Health Center | Clinical Neuropsychologist | 160-a Camden Medical Park, Camden, NC 27921 | 2007-01-25 |
| Find all providers in zip 27921 | ||||
| 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 |
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| 1891275467 | Genesis Counseling Center, Inc | Counselor | 1000 Atlantic Avenue, 5th Floor, Camden, NJ 08104 | 2018-08-14 |
| 1881183994 | Genesis Counseling Center, Inc | Counselor | 1000 Atlantic Ave., Camden, NJ 08104 | 2018-05-03 |
| 1346791829 | Kemberling and Willey Pa | Counselor | 71 Elm St Ste 1, Camden, ME 04843-1904 | 2016-10-19 |
| 1942692280 | Danielle Shockley I | Counselor | 2553 S 8th St # I2, Camden, NJ 08104-2521 | 2015-02-24 |
| 1841592789 | Seton School, Inc. | Counselor | 1 Free St, Camden, ME 04843-1912 | 2010-11-29 |
| 1336753797 | Olivia Caroline Von Rosenberg | Counselor | 208 King St, Camden, SC 29020-4720 | 2020-09-03 |
| 1053884346 | Sara Ellen Anderson | Counselor | 709 Mill St, Camden, SC 29020-4738 | 2019-01-09 |
| 1134618937 | Genesis Counseling Center, Inc | Counselor | 1000 Atlantic Ave., Camden, NJ 08104 | 2018-05-07 |
| 1528575511 | Linley Crisp | Counselor | 115 Jefferson St Sw, Camden, AR 71701-3945 | 2017-12-29 |
| 1154847325 | Susan Harmon | Counselor | 115 Jefferson St Sw, Camden, AR 71701-3945 | 2017-08-18 |
| Find all providers in CAMDEN | ||||
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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.