JOY GOODIE (DNP, CRNP-PMH, LCPC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1245306562

JOY GOODIE (DNP, CRNP-PMH, LCPC) is a healthcare provider. based in Baltimore, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, CRNP-PMH, LCPC. They hold a License No. LC1643 (MD). The NPI Number for JOY GOODIE (DNP, CRNP-PMH, LCPC) is 1245306562

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
JOY GOODIE (DNP, CRNP-PMH, LCPC)
NPI
1245306562
Phone
(410) 905-4948
Address
103 LOCUST DR
Enumeration Date
28 November 2006
Last Update Date
21 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4434421568
Graduation Year
1995 (31 years ago)
PAC ID
9234224478
Group Practice PAC ID
2961685706
Professional Enrollment ID
I20250710002228
Address ID
MD212364969NO5022XBLVD349
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

6,763 NURSE PRACTITIONER in MD

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Provider Addresses for JOY GOODIE (DNP, CRNP-PMH, LCPC)

  • 103, Locust Drive, Catonsville, Baltimore County, Maryland, 21228, United States

    BALTIMORE, MD 212076021

    Phone: (410) 905-4948

    Fax: (410) 594-1732

    Type: Location

  • 103 Locust Dr

    Baltimore, MD 212076021

    Phone: (410) 905-4948

    Fax: (410) 594-1732

    Type: Location

  • 8665 GEORGIA AVE

    SILVER SPRING, MD 209103405

    Phone: (410) 905-4948

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250701004061IMental Health CounselorDCTBD
I20250710002228INurse PractitionerMDTBD
I20250731003276INurse PractitionerDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961685706View full group profile
NameSpecialtyState
-MD
Nurse PractitionerMD
Clinical Social WorkerMD
Clinical Social WorkerDC
Clinical Social WorkerMD
Nurse PractitionerMD
Nurse PractitionerMD
Mental Health CounselorMD
Mental Health CounselorMD
Mental Health CounselorPA

Reviews

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Frequently asked questions

How is JOY GOODIE (DNP, CRNP-PMH, LCPC) identified in CMS data?
CMS-hosted NPPES data lists JOY GOODIE (DNP, CRNP-PMH, LCPC) with NPI 1245306562.
Is JOY GOODIE (DNP, CRNP-PMH, LCPC) listed as active for patients and plans?
The listing shows JOY GOODIE (DNP, CRNP-PMH, LCPC) as active in the NPI system.
What taxonomy line describes JOY GOODIE (DNP, CRNP-PMH, LCPC)?
For research purposes, treat JOY GOODIE (DNP, CRNP-PMH, LCPC) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JOY GOODIE (DNP, CRNP-PMH, LCPC)?
JOY GOODIE (DNP, CRNP-PMH, LCPC)'s geographic hint is Baltimore, Maryland in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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