MRS. AVANI ATUL GOODLOE (NPI# 1891357059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891357059 |
| Entity Type | Individual |
| Full Name | MRS. AVANI ATUL GOODLOE |
| Credential | MFT |
| Practice Address |
10300 Brookridge Village Blvd Ste 104 Louisville KY 40291-4474 |
| Mailing Address |
402 Glen Lakes Ct Louisville KY 40245-5319 |
| Practice Telephone | 5027854322 |
| Practice Fax Number | 5027854433 |
| Mailing Telephone | 5025925891 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
10300 BROOKRIDGE VILLAGE BLVD STE 104 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40291-4474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912265950 | Kathleen Adams | Social Worker | 10300 Brookridge Village Blvd Ste 104, Louisville, KY 40291-4474 | 2012-04-27 |
| 1396384459 | Heather Dawn Chafin | Counselor | 10300 Brookridge Village Blvd Ste 104, Louisville, KY 40291-4474 | 2020-01-06 |
| 1750926168 | Megan Elizabeth Mccarthy | Social Worker | 10300 Brookridge Village Blvd Ste 104, Louisville, KY 40291-4474 | 2019-11-08 |
| 1861957979 | Geoffrey Elmore | Social Worker | 10300 Brookridge Village Blvd Ste 104, Louisville, KY 40291-4474 | 2019-02-02 |
| 1578065488 | Misty Gabrielle Young | Social Worker | 10300 Brookridge Village Blvd Ste 104, Louisville, KY 40291-4474 | 2018-03-06 |
| 1306362447 | Alice Pauline Butler | Counselor | 10300 Brookridge Village Blvd Ste 104, Louisville, KY 40291-4474 | 2017-08-21 |
| 1104272764 | Vanessa Nicole Jones | Social Worker | 10300 Brookridge Village Blvd Ste 104, Apt 202, Louisville, KY 40291-4474 | 2016-05-12 |
| 1720486137 | Tahani Alexis Daugherty | Social Worker | 10300 Brookridge Village Blvd Ste 104, Louisville, KY 40291 | 2014-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881117166 | The Degondaba School, Inc. | Day Training, Developmentally Disabled Services | 5110 Stony Brook Drive, Louisville, KY 40291 | 2017-07-19 |
| 1497108278 | Andrea Herndon | Physician Assistant | 10710 Marceitta Ct, Louisville, KY 40291 | 2016-07-18 |
| 1033536602 | Jennifer Rose Fowler | Social Worker | 10300 Brookridge Villeage Blvd., Suite 104, Louisville, KY 40291 | 2014-03-21 |
| 1740602069 | Brittney Tatum | Licensed Practical Nurse | 9500 Glen Trace Ln, Louisville, KY 40291 | 2014-01-07 |
| 1326392895 | Lisa J Fetter | Nurse Practitioner | 6413 Bardstown Rd, Louisville, KY 40291 | 2012-11-05 |
| 1275829137 | Carolyn Estep Book | Counselor | 9612 Farmstead Lane, Louisville, KY 40291 | 2011-06-20 |
| 1023309028 | Julie Klein Hawkins | Pharmacist | 8014 Bardstown Rd., Louisville, KY 40291 | 2011-04-25 |
| 1295872653 | Loving Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9508 Fairmount Rd, Louisville, KY 40291 | 2007-02-01 |
| 1962548198 | Morgan Howard | Chiropractor | 5501 Bardstown Rd, Louisville, KY 40291 | 2007-01-29 |
| 1407992258 | Deanna H Smith | Social Worker | 9409 Cedar Look Drive, Louisville, KY 40291 | 2007-01-29 |
| Find all providers in zip 40291 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408497 | Laura M Green | Marriage & Family Therapist | 3013 Vogue Ave, Louisville, KY 40220-2533 | 2020-08-17 |
| 1841818820 | Amanda L Huff | Marriage & Family Therapist | 5512 Hames Trce Apt 569, Louisville, KY 40291-2067 | 2020-07-07 |
| 1265052153 | Jessica Craven | Marriage & Family Therapist | 5500 Matterhorn Dr, Louisville, KY 40216-1327 | 2020-04-21 |
| 1609404227 | Don P Delafield | Marriage & Family Therapist | 731 Speckman Rd, Louisville, KY 40243-2826 | 2020-03-30 |
| 1932739869 | Sara Ann Semenick | Marriage & Family Therapist | 800 Lily Creek Rd Ste 201, Louisville, KY 40243-2811 | 2020-01-20 |
| 1417594334 | Shawn L Stinson Sr. | Marriage & Family Therapist | 201 S Peterson Ave, Louisville, KY 40206-2573 | 2019-12-10 |
| 1861034977 | Cheryl Rosa Gilbert | Marriage & Family Therapist | 8815 Lakeridge Dr, Louisville, KY 40272-2405 | 2019-10-09 |
| 1144876079 | Karen Rawlings | Marriage & Family Therapist | 600 E Oak St, Louisville, KY 40203-3463 | 2019-08-15 |
| 1568016798 | Melissa Dean Smith | Marriage & Family Therapist | 8106 Red Stone Hill Rd, Louisville, KY 40214-4614 | 2019-07-25 |
| 1922668771 | Sean Brooks | Marriage & Family Therapist | 800 Lily Creek Rd Ste 202, Louisville, KY 40243-2811 | 2019-06-14 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40291 |
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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.