STEPHANIE GOODRUM LPC
NPI 1972611788
Counselor - Mental Health in Selmer, TN

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
641 E POPLAR AVE, SELMER, TN 38375(731) 645-5753(731) 645-9885 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Goodrum Lpc NPPES

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

STEPHANIE GOODRUM LPC (NPI 1972611788) is an individual mental health provider in Selmer, Tennessee, licensed in Tennessee (LPC1677) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1972611788
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE GOODRUMCredential: LPC
Location Address641 E POPLAR AVESelmer, TN 38375-1828
Mailing Address3772 Highway 45 SSelmer, TN 38375-6606 · (731) 645-5753 · Fax (731) 645-9885
Fax(731) 645-9885
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 29, 2006
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
NPI 1972611788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in TN · LPC1677
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC1677 (TN)
Also ListedSocial WorkerTaxonomy 104100000X · License LPC 1677 (TN)
641 E POPLAR AVE, Selmer, TN 38375

Other Identifiers 2

Other4099873TN · Bcbs Provider Number
Medicaid572994000TN

Accepted Insurance

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

Stephanie Goodrum Lpc 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 ID4486002425
PECOS Enrollment IDI20231130003064
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
40 services13 patients

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.

Nurse Practitioner (Family)
641 E POPLAR AVE
SELMER, TN 38375
Nurse Practitioner (Psychiatric/Mental Health)
641 E POPLAR AVE
SELMER, TN 38375
Counselor
641 E POPLAR AVE
SELMER, TN 38375
Counselor
641 E POPLAR AVE
SELMER, TN 38375
Counselor
641 E POPLAR AVE
SELMER, TN 38375
Counselor
641 E POPLAR AVE
SELMER, TN 38375
Counselor
641 E POPLAR AVE
SELMER, TN 38375
Counselor
641 E POPLAR AVE
SELMER, TN 38375

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 Stephanie Goodrum's NPI number?

The NPI number for Stephanie Goodrum is 1972611788. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Stephanie Goodrum located?

Stephanie Goodrum practices at 641 E Poplar Ave, Selmer, TN 38375. The listed phone number is (731) 645-5753.

What is Stephanie Goodrum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stephanie Goodrum enrolled in Medicare?

Yes. Stephanie Goodrum 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.

What insurance does Stephanie Goodrum accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Stephanie Goodrum 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 Stephanie Goodrum was last updated on February 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.