TARA GOODWYN (NPI# 1063654325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063654325 |
| Entity Type | Individual |
| Full Name | TARA GOODWYN |
| Credential | LVN |
| Practice Address |
300 E 15th St Merced CA 95341-6217 |
| Practice Telephone | 2093816879 |
| Mailing Telephone | 2093816879 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 226748 | CA | Behavioral Health & Social Service Providers |
| Street Address |
300 E 15TH ST |
| City | MERCED |
| State | CA |
| Zip Code | 95341-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831247287 | Elizabeth Ann Freitas | Social Worker | 300 E 15th St, Merced, CA 95340-6217 | 2007-01-08 |
| 1659984805 | Gisselle Alexandria Aguilar | Licensed Vocational Nurse | 300 E 15th St, Merced, CA 95341-6217 | 2020-08-27 |
| 1861005480 | Debora Yvonne Franklin | Licensed Vocational Nurse | 300 E 15th St, Merced, CA 95341-6217 | 2020-08-24 |
| 1770102238 | James L Blaylock | Licensed Psychiatric Technician | 300 E 15th St, Merced, CA 95341-6217 | 2020-04-14 |
| 1558996504 | Lacey Nicole Recinos | Technician | 300 E 15th St, Merced, CA 95341-6217 | 2020-03-10 |
| 1679133557 | Eli Sachse | Registered Nurse | 300 E 15th St, Merced, CA 95341-6217 | 2019-06-13 |
| 1770040131 | Leticia Davis | Licensed Vocational Nurse | 300 E 15th St, Merced, CA 95341-6217 | 2019-02-21 |
| 1750876777 | Kimberly Sheree Sanchez | Social Worker | 300 E 15th St, Merced, CA 95341-6217 | 2018-06-22 |
| 1992295679 | Jenna Vanderbeek | Counselor | 300 E 15th St, Merced, CA 95341-6217 | 2018-05-17 |
| 1568968550 | Amanda Mello | Licensed Vocational Nurse | 300 E 15th St, Merced, CA 95341-6217 | 2018-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942520 | Samantha Canal | Counselor | 300 E 13th St Suite C, Merced, CA 95341 | 2020-08-11 |
| 1043874100 | Phyllis A Patterson | Peer Specialist | 490 E 13th Street, Merced, CA 95341 | 2019-04-24 |
| 1093209488 | Cierra Nicole Sweet | Case Manager/Care Coordinator | 490 E 13th St, Merced, CA 95341 | 2018-06-19 |
| 1528444148 | Mirian Cardenas | Counselor | 301 E 13th St Ste D, Merced, CA 95341 | 2015-08-05 |
| 1962839290 | Jessica Perez | Counselor | 480 East 13th Street, Building, Merced, CA 95341 | 2013-10-01 |
| 1235417171 | Mayla T Carlos | Physician Assistant | 847 W. Childs Ave., Merced, CA 95341 | 2011-07-26 |
| 1588951883 | Altia N Johnson | Registered Nurse | 260 E 15th Street, Merced, CA 95341 | 2011-07-07 |
| 1598061657 | County of Merced | Clinic/Center | 490 E. 13th Street, Merced, CA 95341 | 2011-02-07 |
| 1275710741 | Kathryn Renee Rodriguez | Social Worker | 2777 N Highway 59, Merced County Adult Services, Merced, CA 95341 | 2008-01-28 |
| 1700060324 | Irene Miranda-henson | Registered Nurse | 797 West Childs Avenue, Merced, CA 95341 | 2007-12-18 |
| Find all providers in zip 95341 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942520 | Samantha Canal | Counselor | 300 E 13th St Suite C, Merced, CA 95341 | 2020-08-11 |
| 1760032312 | Mary Jo Diaz | Counselor | 1022 W 18th St, Merced, CA 95340-4505 | 2019-09-16 |
| 1760952246 | Noemi Diaz | Counselor | 3360 North Hwy.59 Suite K, Merced, CA 95348 | 2018-11-28 |
| 1164868683 | Maria Lopez | Counselor | 1172 D St Apt B, Merced, CA 95341-6377 | 2013-05-13 |
| 1285971572 | Pangdao Thao | Counselor | 940 Olivewood Dr Apt 2, Merced, CA 95348-1223 | 2013-01-07 |
| 1073858775 | Jessica Lindsey Kirby | Counselor | 3360 N. Hwy 59, Suite K, Merced, CA 95348 | 2012-12-06 |
| 1336374206 | Diana Marie Galvan Elgammal | Counselor | 642 W. Main St., Merced, CA 95340 | 2009-05-21 |
| 1902022239 | Maria Socorro Reyes-alfaro | Counselor | 2115 W. Wardrobe, Merced, CA 95340 | 2007-04-17 |
| 1205959681 | Rachel Trevino | Counselor | 2292 Beachwood Dr, Merced, CA 95348-3721 | 2007-04-09 |
| 1730229733 | Connie Theresa Garcia | Counselor | 480 East 13th Street, Merced, CA 95341-4600 | 2007-02-07 |
| Find all providers in MERCED | ||||
Please comment or provide details below to improve the information on TARA GOODWYN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.