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ERAKAL GOODMAN CBHCMS
NPI 1033543343
Counselor - Mental Health in Jacksonville, FL

Active since August 23, 2013
6138 KENNERLY RD UNIT 150, JACKSONVILLE, FL 32216(904) 719-7667(904) 297-2266 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2024, Dec 11, 2020 (2 updates tracked since 2020).

About Erakal Goodman Cbhcms NPPES

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

ERAKAL GOODMAN CBHCMS (NPI 1033543343) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1033543343
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameERAKAL GOODMANCredential: CBHCMS
Location Address6138 KENNERLY RD UNIT 150Jacksonville, FL 32216-4395
Mailing Address6138 Kennerly Rd Unit 150Jacksonville, FL 32216-4395 · (386) 283-2010 · Fax (904) 297-2266
Phone(904) 719-7667
Fax(904) 297-2266
Sole ProprietorNo
Enumeration DateAugust 23, 2013
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1033543343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6138 KENNERLY RD UNIT 150, Jacksonville, FL 32216
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Other Providers at the Same Location NPPES

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

IULIIA VARTANOV
Physical Therapy Assistant
6138 KENNERLY RD UNIT 150
JACKSONVILLE, FL 32216
Duval County (904) 624-2531

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 Erakal Goodman's NPI number?

The NPI number for Erakal Goodman is 1033543343. It was assigned to this individual provider in the NPPES registry on August 23, 2013.

Where is Erakal Goodman located?

Erakal Goodman practices at 6138 Kennerly Rd Unit 150, Jacksonville, FL 32216. The listed phone number is (904) 719-7667.

What is Erakal Goodman's specialty?

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

When was this NPI record last updated?

The NPPES record for Erakal Goodman was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.