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MR. LAURENCE MICHAEL GOODMAN MFT
NPI 1861616088
Marriage & Family Therapist in Santa Rosa, CA

Active since April 11, 2007Opted out of Medicare · through Jan 1, 2028
3551 HEIMBUCHER WAY, SANTA ROSA, CA 95404(707) 583-2313(707) 537-9127 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Laurence Michael Goodman Mft NPPES

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

MR. LAURENCE MICHAEL GOODMAN MFT (NPI 1861616088) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (38345) and active in the NPI registry since April 2007. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1861616088
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. LAURENCE MICHAEL GOODMANCredential: MFT
Location Address3551 HEIMBUCHER WAYSanta Rosa, CA 95404-2028
Mailing Address3551 Heimbucher WaySanta Rosa, CA 95404-2028 · (707) 583-2313 · Fax (707) 537-9127
Phone(707) 583-2313
Fax(707) 537-9127
Sole ProprietorYes
Enumeration DateApril 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861616088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 38345
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3551 HEIMBUCHER WAY, Santa Rosa, CA 95404
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Laurence Michael Goodman Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Laurence Goodman's NPI number?

The NPI number for Laurence Goodman is 1861616088. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Laurence Goodman located?

Laurence Goodman practices at 3551 Heimbucher Way, Santa Rosa, CA 95404. The listed phone number is (707) 583-2313.

What is Laurence Goodman's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Laurence Goodman enrolled in Medicare?

No. Laurence Goodman has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Laurence Goodman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.