JONATHAN CLARKE GOODMAN LMHC, MHP, NCC
NPI 1205212545
Counselor - Professional in Puyallup, WA
NPI Status: Active since August 10, 2015
Contact Information
1002 39TH AVE SW STE 208
PUYALLUP, WA
ZIP 98373
Phone: (253) 234-5464
Fax: (253) 317-2787
- Individual
- Male
- Counselor
- Professional
- Accepts Insurance
- PECOS Enrolled
About JONATHAN GOODMAN
This page provides the complete NPI Profile along with additional information for Jonathan Goodman, a provider established in Puyallup, Washington with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1205212545 assigned on August 2015. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1205212545
- Provider Name
- JONATHAN CLARKE GOODMAN LMHC, MHP, NCC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1002 39TH AVE SW STE 208 PUYALLUP, WA 98373
- Location Phone
- (253) 234-5464
- Location Fax
- (253) 317-2787
- Mailing Address
- 204 2ND ST SW SUITE 281 PUYALLUP, WA 98371
- Mailing Phone
- (253) 234-5464
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-10-2015
- Last Update Date
- 10-07-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | LH60796049 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jonathan Goodman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for JONATHAN CLARKE GOODMAN LMHC, MHP, NCC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 2 | 1 | 2 | 5 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 4 | 1 | 4 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 4 + 1 + 4 + 5 + 8 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1205212545 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316157811 | MS. AMY ELIZABETH PRUITT LMFT Individual | Counselor | 1002 39TH AVE SW STE 208 PUYALLUP, WA 98373 (253) 317-1737 |
| 1134984917 | SURF, SAND AND SAGE, PLLC Organization | Community/Behavioral Health | 1002 39TH AVE SW STE 208 PUYALLUP, WA 98373 (253) 317-1737 |
| 1487411278 | WHISPERING ROCK COUNSELING, LLC Organization | Clinic/Center (Adult Mental Health) | 1002 39TH AVE SW STE 208 PUYALLUP, WA 98373 (253) 234-5464 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205212545, enumerated in the NPI registry as an "individual" on August 10, 2015
The provider is located at 1002 39th Ave Sw Ste 208 Puyallup, Wa 98373 and the phone number is (253) 234-5464
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on August 10, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.