WENDY GOODMAN LMHC LADAC LPCC NPI 1558539619

NPI Information

NPI: 1558539619
Provider Name: WENDY GOODMAN, LMHC, LADAC, LPCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2859 PLAZA ROJO
SANTA FE, NM
ZIP 87507
Phone: (505) 474-6825
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Wendy Goodman, LMHC, LADAC, LPCC is a mental health counselor in Santa Fe, NM. Wendy Goodman, LMHC, LADAC, LPCC NPI is 1558539619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2859 PLAZA ROJO
SANTA FE, NM
ZIP 87507-521
Phone: (505) 474-6825
Fax: (505) 474-6825

The enumeration date for this NPI number is 2/12/2008 and was last updated on 3/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0122491	NEW MEXICO	No
2	101YM0800X	Counselor	Mental Health	0111261	NEW MEXICO	No
3	101YM0800X	Counselor	Mental Health	0127551	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1558539619	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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