JESSICA GOODRICH LPC
NPI 1720742950
Counselor - Professional in Green Bay, WI
About Jessica Goodrich Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA GOODRICH LPC (NPI 1720742950) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (10439-125) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Goodrich Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Goodrich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80202
- Reassigned Medicare billing, Wisconsin enrollment
- 28 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessica Goodrich's NPI number?
The NPI number for Jessica Goodrich is 1720742950. It was assigned to this individual provider in the NPPES registry on October 25, 2021. The provider is also known as Jessica Ahrens.
Where is Jessica Goodrich located?
Jessica Goodrich practices at 2670 S Ashland Ave Ste 202, Green Bay, WI 54304. The listed phone number is (920) 241-9831.
What is Jessica Goodrich's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jessica Goodrich enrolled in Medicare?
Yes. Jessica Goodrich is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Goodrich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Goodrich reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). 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 Jessica Goodrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Goodrich accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Network Health and UnitedHealthcare list Jessica Goodrich 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 Jessica Goodrich was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jessica Goodrich, LPC · NPI 1720742950
Professional provider in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since October 25, 2021.
## Identity
- **NPI:** 1720742950 (Entity type: Individual)
- **Enumerated:** October 25, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 10439-125 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2670 S ASHLAND AVE STE 202, Green Bay, WI 54304-5300
- **Phone:** (920) 241-9831
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sondermind Provider Network LLC (NPI 1760854442, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720742950) · Data from the CMS NPPES public registry.