MARY KATHLEEN GOODMAN
NPI 1982107231
Counselor - Mental Health in Seattle, WA

Active since March 13, 2018Opted out of Medicare · through Jun 16, 2027
140 LAKESIDE AVE STE A-319, SEATTLE, WA 98122(615) 708-4238 Get Directions Write a Review

NPPES record last updated: March 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Kathleen Goodman NPPES

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

MARY KATHLEEN GOODMAN (NPI 1982107231) is an individual mental health provider in Seattle, Washington and active in the NPI registry since March 2018. She has opted out of Medicare through June 16, 2027.

NPPES Registry Identity

NPI1982107231
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY KATHLEEN GOODMAN
Location Address140 LAKESIDE AVE STE A-319Seattle, WA 98122-6551
Mailing Address140 Lakeside Ave Ste A-319Seattle, WA 98122-6551
Sole ProprietorNo
Enumeration DateMarch 13, 2018
NPI 1982107231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
140 LAKESIDE AVE STE A-319, Seattle, WA 98122

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mary Kathleen Goodman 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 June 16, 2025 through June 16, 2027.

Opt-Out Effective DateJune 16, 2025
Opt-Out In Effect ThroughJune 16, 2027Opt-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 Mary Goodman's NPI number?

The NPI number for Mary Goodman is 1982107231. It was assigned to this individual provider in the NPPES registry on March 13, 2018.

Where is Mary Goodman located?

Mary Goodman practices at 140 Lakeside Ave Ste A-319, Seattle, WA 98122. The listed phone number is (615) 708-4238.

What is Mary Goodman's specialty?

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

Is Mary Goodman enrolled in Medicare?

No. Mary Goodman has opted out of Medicare through June 16, 2027. 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 Mary Goodman was last updated on March 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.