MRS. MARIA GOUDAS (MA LPCCS) – Mental Health Counselor, NPI 1083749808

MRS. MARIA GOUDAS (MA LPCCS) is a healthcare provider. based in Chardon, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA LPCCS. They hold a License No. E.0002590-SUPV (OH). The NPI Number for MRS. MARIA GOUDAS (MA LPCCS) is 1083749808

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARIA GOUDAS (MA LPCCS)
NPI
1083749808
Phone
(440) 285-3568
Address
12557 RAVENWOOD DR
Enumeration Date
22 February 2007
Last Update Date
8 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4402853568
Graduation Year
2021 (5 years ago)
PAC ID
5698113439
Group Practice PAC ID
6901813922
Professional Enrollment ID
I20240329001420
Address ID
OH440249009CH12557DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for MRS. MARIA GOUDAS (MA LPCCS)

  • 12557 RAVENWOOD DR

    CHARDON, OH 440249009

    Phone: (440) 285-3568

    Type: Mailing

  • 351 E LEGEND CT

    #F

    HIGHLAND HTS, OH 44124

    Phone: (440) 442-7871

    Type: Mailing

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: 2024-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240329001420IMental Health CounselorOHTBD

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 44024)

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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: 6901813922View full group profile
NameSpecialtyState
-OH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
-IL
Mental Health CounselorND
Nurse PractitionerOH
Mental Health CounselorOH
Nurse PractitionerTN
P S Y C H I A T R YOH

Reviews

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Frequently asked questions

Is MRS. MARIA GOUDAS (MA LPCCS) listed with a National Provider Identifier?
Yes — MRS. MARIA GOUDAS (MA LPCCS) has NPI 1083749808 on file in the registry.
Would MRS. MARIA GOUDAS (MA LPCCS) appear as active to a payer?
You can treat MRS. MARIA GOUDAS (MA LPCCS) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRS. MARIA GOUDAS (MA LPCCS)?
MRS. MARIA GOUDAS (MA LPCCS) is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. MARIA GOUDAS (MA LPCCS) located near Chardon?
MRS. MARIA GOUDAS (MA LPCCS) currently maps to Chardon, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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