DENISE PATRICIA GOODEN LPC
NPI 1053927566
Counselor - Professional in Bethlehem, PA
- Individual
- Female
- Counselor
- Professional
- Opted-Out Medicare
About DENISE GOODEN
This page provides the complete NPI Profile along with additional information for Denise Gooden, a provider established in Bethlehem, Pennsylvania with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1053927566 assigned on September 2020. The practitioner's primary taxonomy code is 101YP2500X with license number PC012667 (PA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1053927566 Verify this NPI
- Provider Name
- DENISE PATRICIA GOODEN LPC
- Other Name
- DENISE GOODEN LPC
- Other Name Type
- Professional Name (2)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 807 W BROAD ST BETHLEHEM, PA 18018
- Location Phone
- (610) 419-9415
- Location Fax
- (610) 419-9418
- Mailing Address
- 1572 VALLEY RD BETHLEHEM, PA 18018
- Mailing Phone
- (484) 719-1905
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-20-2020
- Last Update Date
- 09-20-2020
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Denise Gooden opted out of Medicare effective on 02-06-2024 until 02-06-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PC012667
- License State
- PA
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-06-2024
Opt-Out End Date: 02-06-2026
Eligible to Order and Refer? No
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The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053927566, enumerated as an "individual" on September 20, 2020.
The provider is located at 807 W BROAD ST BETHLEHEM, PA 18018 and the phone number is (610) 419-9415.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
