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CONNIE JO GOLDSMITH LCPC
NPI 1922252584
Counselor - Professional in Greenville, IL

Active since November 10, 2008PECOS EnrolledAccepts Medicare Assignment
1520 S 4TH ST, GREENVILLE, IL 62246(618) 664-1455(618) 664-1374 Get Directions Write a Review

NPPES record last updated: November 9, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Connie Jo Goldsmith Lcpc NPPES

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

CONNIE JO GOLDSMITH LCPC (NPI 1922252584) is an individual professional provider in Greenville, Illinois, licensed in Illinois (180.002482) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1922252584
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCONNIE JO GOLDSMITHCredential: LCPC
Location Address1520 S 4TH STGreenville, IL 62246-2618
Mailing Address1520 S 4th StGreenville, IL 62246-2618 · (618) 664-1455 · Fax (618) 664-1374
Phone(618) 664-1455
Fax(618) 664-1374
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 10, 2008
Last NPPES UpdateNovember 9, 2009
✔ NPI 1922252584 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 IL · 180.002482
1520 S 4TH ST, Greenville, IL 62246
Open in Google Maps ↗

Other Names 1

Former Name (1)Connie Jo Austin Lcpc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Connie Jo Goldsmith Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466984034
PECOS Enrollment IDI20241021002801
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JESSICA SMITH
Case Manager/Care Coordinator
1520 S 4TH ST
GREENVILLE, IL 62246
Bond County (618) 664-1455
REBECCA ALBERS
Counselor
1520 S 4TH ST
GREENVILLE, IL 62246
Bond County (618) 664-1455
REBECCA DAWN KLITZKE
Counselor (Mental Health)
1520 S 4TH ST
GREENVILLE, IL 62246
Bond County (618) 664-1455
DEBORAH SIMCOX
Counselor (Addiction (Substance Use Disorder))
1520 S 4TH ST
GREENVILLE, IL 62246
Bond County (618) 664-1455
ADRIENNE KAYLE BEAVOR LPC
Counselor (Mental Health)
1520 S 4TH ST
GREENVILLE, IL 62246
Bond County (618) 664-1224
LISA YVONNE MCNUTT RN
Registered Nurse (Psychiatric/Mental Health)
1520 S 4TH ST
GREENVILLE, IL 62246
Bond County (618) 664-1455
MRS. ELIZABETH EILEEN NOLKER CNM
Advanced Practice Midwife
1520 S 4TH ST
GREENVILLE, IL 62246
Bond County (618) 664-1442
DIANE DUFT
Counselor (Mental Health)
1520 S 4TH ST
GREENVILLE, IL 62246
Bond County (618) 664-1455

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 Connie Goldsmith's NPI number?

The NPI number for Connie Goldsmith is 1922252584. It was assigned to this individual provider in the NPPES registry on November 10, 2008. The provider is also known as Connie Jo Austin Lcpc.

Where is Connie Goldsmith located?

Connie Goldsmith practices at 1520 S 4th St, Greenville, IL 62246. The listed phone number is (618) 664-1455.

What is Connie Goldsmith's specialty?

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

Is Connie Goldsmith enrolled in Medicare?

Yes. Connie Goldsmith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Connie Goldsmith was last updated on November 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.