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JEROME M GOODMAN
NPI 1194543058
Counselor in Portland, OR

Active since September 30, 2024
2929 SE STARK ST, PORTLAND, OR 97214(608) 327-9845 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerome M Goodman NPPES

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

JEROME M GOODMAN (NPI 1194543058) is an individual counselor in Portland, Oregon and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1194543058
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJEROME M GOODMAN
Location Address2929 SE STARK STPortland, OR 97214-4575
Mailing Address2929 Se Stark StPortland, OR 97214-4575 · (608) 327-9845
Phone(608) 327-9845
Sole ProprietorYes
Enumeration DateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1194543058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2929 SE STARK ST, Portland, OR 97214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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 Jerome Goodman's NPI number?

The NPI number for Jerome Goodman is 1194543058. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Where is Jerome Goodman located?

Jerome Goodman practices at 2929 SE Stark St, Portland, OR 97214. The listed phone number is (608) 327-9845.

What is Jerome Goodman's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Jerome Goodman accept?

Health plans from Moda Health Plan, Inc. list Jerome Goodman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerome Goodman was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.