MS. NICOLE B. GOODSON MS CCC-SLP
NPI 1649560228
Speech-Language Pathologist in West Creek, NJ

Active since April 15, 2011
1064 S MAIN ST, WEST CREEK, NJ 08092(609) 448-2650(609) 488-2651 Get Directions Write a Review

NPPES record last updated: January 25, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Nicole B. Goodson Ms Ccc-slp NPPES

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

MS. NICOLE B. GOODSON MS CCC-SLP (NPI 1649560228) is an individual speech-language pathologist provider in West Creek, New Jersey, licensed in New Jersey (41YSOO593600) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1649560228
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. NICOLE B. GOODSONCredential: MS CCC-SLP
Location Address1064 S MAIN STWest Creek, NJ 08092-2912
Mailing Address27 Wimbleton LnLittle Egg Harbor Twp, NJ 08087-9654 · (609) 879-4858
Fax(609) 488-2651
Sole ProprietorYes
Enumeration DateApril 15, 2011
Last NPPES UpdateJanuary 25, 2014
✔ NPI 1649560228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NJ · 41YSOO593600
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1064 S MAIN ST, West Creek, NJ 08092

Other Identifiers 1

Other41YSOO593600NJ · Speech Language Pathologist

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nicole B. Goodson Ms Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicole Goodson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
508 10TH AVE
Belmar, NJ 07719
  • Reassigned Medicare billing, New Jersey enrollment
  • 180 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

Occupational Therapist
1064 S MAIN ST
WEST CREEK, NJ 08092
Social Worker (Clinical)
1064 S MAIN ST, BLDG 1E ROOM 203
WEST CREEK, NJ 08092
Speech-Language Pathologist
1064 S MAIN ST
WEST CREEK, NJ 08092
Speech-Language Pathologist
1064 S MAIN ST
WEST CREEK, NJ 08092
Dentist (Orthodontics and Dentofacial Orthopedics)
1064 S MAIN ST, SUITE 2A
WEST CREEK, NJ 08092
Nutritionist
1064 S MAIN ST, SUITE 1E, UNIT 204
WEST CREEK, NJ 08092

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 Goodson's NPI number?

The NPI number for Nicole Goodson is 1649560228. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Where is Nicole Goodson located?

Nicole Goodson practices at 1064 S Main St, West Creek, NJ 08092. The listed phone number is (609) 448-2650.

What is Nicole Goodson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Nicole Goodson enrolled in Medicare?

Yes. Nicole Goodson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Goodson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Goodson reassigns Medicare benefits to Coastal Home Rehabilitation, LLC (Belmar, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Goodson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Goodson was last updated on January 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.