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IMMAGEN GOODMAN
NPI 1841187739
Counselor - Addiction (Substance Use Disorder) in Roseville, CA

Active since June 23, 2025
1133 COLOMA WAY STE C, ROSEVILLE, CA 95661(916) 774-6647 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2025, Jun 23, 2025 (2 updates tracked since 2025).

About Immagen Goodman NPPES

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

IMMAGEN GOODMAN (NPI 1841187739) is an individual addiction (substance use disorder) provider in Roseville, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1841187739
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameIMMAGEN GOODMAN
Location Address1133 COLOMA WAY STE CRoseville, CA 95661-4480
Mailing Address1133 Coloma Way Ste CRoseville, CA 95661-4480 · (916) 774-6647
Phone(916) 774-6647
Sole ProprietorNo
Enumeration DateJune 23, 2025
Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1841187739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1133 COLOMA WAY STE C, Roseville, CA 95661
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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.

MRS. BRIDGET ADAMS RADT
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
CHRISTOPHER ALLEN UNDERWOOD AMFT
Marriage & Family Therapist
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 955-6220
TORI ROOKE
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
PATRICIA GWEN DOMINGUEZ SUDCC II
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
BRITTANY BROACH
Counselor (Mental Health)
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
JESSE HATLER
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
LORI A WOODS CADC- II
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
MELANIE SELOMI DEVERA
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647

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 Immagen Goodman's NPI number?

The NPI number for Immagen Goodman is 1841187739. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Immagen Goodman located?

Immagen Goodman practices at 1133 Coloma Way Ste C, Roseville, CA 95661. The listed phone number is (916) 774-6647.

What is Immagen Goodman'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 Immagen Goodman was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.