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ROOSEVELT GOODMAN JR JR.
NPI 1497569248
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since February 03, 2025
3214 PROSPECT AVE E, CLEVELAND, OH 44115(216) 910-9015 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2025, Feb 3, 2025 (2 updates tracked since 2025).

About Roosevelt Goodman Jr Jr. NPPES

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

ROOSEVELT GOODMAN JR JR. (NPI 1497569248) is an individual addiction (substance use disorder) provider in Cleveland, Ohio, licensed in Ohio (CDCA.190613) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1497569248
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameROOSEVELT GOODMAN JR JR.
Location Address3214 PROSPECT AVE ECleveland, OH 44115-2614
Mailing Address3214 Prospect Ave ECleveland, OH 44115-2614 · (216) 910-9015
Phone(216) 910-9015
Sole ProprietorYes
Enumeration DateFebruary 3, 2025
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1497569248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.190613
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3214 PROSPECT AVE E, Cleveland, OH 44115
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

CHRISTOPHER WILLIAMS
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015
CHINA L ROBERTSON
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015
MR. CEDRIC ALBERT SMITH JR.
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015
TAJA TAYLOR
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015
MAJID O'HARA
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015
RALPHINE ROLLING
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015
DR. JOANN HALL
Social Worker
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015
AMY MARGHEIM PRS
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015

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 Roosevelt Goodman Jr's NPI number?

The NPI number for Roosevelt Goodman Jr is 1497569248. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Where is Roosevelt Goodman Jr located?

Roosevelt Goodman Jr practices at 3214 Prospect Ave E, Cleveland, OH 44115. The listed phone number is (216) 910-9015.

What is Roosevelt Goodman Jr's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Roosevelt Goodman Jr was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.