MR. ANDRE GOODMAN LPC-A
NPI 1699591941
Counselor - Professional in Elgin, SC

Active since December 02, 2024
4116 RUSTY MILL DR, ELGIN, SC 29045(803) 920-7278 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Andre Goodman Lpc-a NPPES

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

MR. ANDRE GOODMAN LPC-A (NPI 1699591941) is an individual professional provider in Elgin, South Carolina, licensed in South Carolina (10193) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1699591941
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. ANDRE GOODMANCredential: LPC-A
Location Address4116 RUSTY MILL DRElgin, SC 29045-8020
Mailing Address4116 Rusty Mill DrElgin, SC 29045-8020 · (803) 920-7278
Sole ProprietorNo
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
NPI 1699591941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in SC · 10193
4116 RUSTY MILL DR, Elgin, SC 29045

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 Andre Goodman's NPI number?

The NPI number for Andre Goodman is 1699591941. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Andre Goodman located?

Andre Goodman practices at 4116 Rusty Mill Dr, Elgin, SC 29045. The listed phone number is (803) 920-7278.

What is Andre Goodman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Andre Goodman was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.