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NICOLE SONNLEITNER GOODE
NPI 1003491564
Counselor - Mental Health in Frederick, MD

Active since March 16, 2021Opted out of Medicare · through Jun 26, 2028
3409A URBANA PIKE STE 2A, FREDERICK, MD 21704(443) 788-4266 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2023, Mar 16, 2021 (2 updates tracked since 2021).

About Nicole Sonnleitner Goode NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE SONNLEITNER GOODE (NPI 1003491564) is an individual mental health provider in Frederick, Maryland, licensed in Maryland (LC13400) and active in the NPI registry since March 2021. She has opted out of Medicare through June 26, 2028.

NPPES Registry Identity

NPI1003491564
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE SONNLEITNER GOODE
Location Address3409A URBANA PIKE STE 2AFrederick, MD 21704-7794
Mailing Address5480 Wisconsin Ave Ste 201Chevy Chase, MD 20815-3524 · (588) 830-1852
Phone(443) 788-4266
Sole ProprietorYes
Enumeration DateMarch 16, 2021
Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
✔ NPI 1003491564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC13400
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LGP11227 (MD)
3409A URBANA PIKE STE 2A, Frederick, MD 21704
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nicole Sonnleitner Goode has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 26, 2024 through June 26, 2028.

Opt-Out Effective DateJune 26, 2024
Opt-Out In Effect ThroughJune 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN MARIE SPOALES LGPC
Counselor (Professional)
3409A URBANA PIKE STE 2A
FREDERICK, MD 21704
Frederick County (443) 788-4266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Goode's NPI number?

The NPI number for Nicole Goode is 1003491564. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Nicole Goode located?

Nicole Goode practices at 3409A Urbana Pike Ste 2A, Frederick, MD 21704. The listed phone number is (443) 788-4266.

What is Nicole Goode's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Goode enrolled in Medicare?

No. Nicole Goode has opted out of Medicare through June 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nicole Goode was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.