MR. JASON HAYES GOODWIN (NPI# 1174621627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174621627 |
| Entity Type | Individual |
| Full Name | MR. JASON HAYES GOODWIN |
| Credential | LCPC, CDAC |
| Practice Address |
1417 N. 4th St. Coeur D'alene ID 83814 |
| Practice Telephone | 2082922188 |
| Practice Fax Number | 2082922189 |
| Mailing Telephone | 2082922188 |
| Mailing Fax Number | 2082922189 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-3639 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807281800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972737237 | Jason C Goodwin | Otolaryngology | 1 Hospital Dr # Ma314, Columbia, MO 65212-5276 | 2009-05-14 |
| 1124016399 | Jason R. Goodwin | Nurse Anesthetist, Certified Registered | 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524-4000 | 2005-10-11 |
| Street Address |
1417 N. 4TH ST. |
| City | COEUR D'ALENE |
| State | ID |
| Zip Code | 83814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1043425473 | Susan Marie Holasek | Counselor | 190 Ironwood Center Drive, Coeur D'alene, ID 83814 | 2007-05-11 |
| 1073114625 | Insight for Wellness | Counselor | 296 W. Sunset Ave, Ste 15, Coeur D'alene, ID 83815-8366 | 2020-11-02 |
| 1114539376 | Sydney Stevens | Counselor | 211 E. Coeur D'alene Ave, Ste 102, Coeur D'alene, ID 83814-8381 | 2020-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1679172472 | Dynisha Smith | Counselor | 9277 W Shoup Ave, Boise, ID 83709-0557 | 2020-10-22 |
| 1710592142 | Bruce F. Pagano II | Counselor | 1217 3rd St S Ste 103, Nampa, ID 83651-3917 | 2020-09-11 |
| 1881208056 | Cameron Cushing | Counselor | 3293 E Plympton Dr, Meridian, ID 83642-9019 | 2020-09-03 |
| 1689285892 | Jacob Santhouse | Counselor | 824 17th Ave S Ste 7, Nampa, ID 83651-4781 | 2020-08-11 |
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1669081311 | Catherine Leavitt | Counselor | 921 S 8th Ave # 8136, Pocatello, ID 83209-0002 | 2020-07-29 |
| 1013535145 | Revitalize Consulting Group, Inc. | Counselor | 202 S Midland Blvd, Nampa, ID 83686-2602 | 2020-07-06 |
| 1427670314 | Richard Meyers | Counselor | 2052 Jennie Lee Dr Ste 2, Idaho Falls, ID 83404-7056 | 2020-05-13 |
| 1750901948 | Your Family Counseling Center, LLC | Counselor | 1714 Northshore Dr, Sandpoint, ID 83864-2715 | 2020-04-17 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D'ALENE |
| Zip Code | 83814 |
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| 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.