TARA GOODWYN


Address: 300 E 15th St, Merced, CA 95341-6217
Phone: 2093816879

TARA GOODWYN (NPI# 1063654325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 226748 CA Behavioral Health & Social Service Providers

Office Location

Street Address 300 E 15TH ST
City MERCED
State CA
Zip Code 95341-6217

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MERCED
Zip Code 95341

Improve Information

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Dataset Information

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.

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