RENEE GODDARD


Address: 2011 N Knoxville Ave, Peoria, IL 61603-2414
Phone: 3096877920

RENEE GODDARD (NPI# 1205265832) 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) 1205265832
Entity Type Individual
Full Name RENEE GODDARD
Credential MS
Practice Address 2011 N Knoxville Ave
Peoria
IL 61603-2414
Practice Telephone 3096877920
Practice Fax Number 3096877793
Mailing Telephone 3096877920
Mailing Fax Number 3096877793
Enumeration Date 2013-11-04
Last Update Date 2013-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers RENEE GODDARD

NPI Name Taxonomy Address Enumeration
1881748382 Renee Goddard Naturopath 1201 W Main St, Hamilton, MT 59840-2337 2007-01-22

Office Location

Street Address 2011 N KNOXVILLE AVE
City PEORIA
State IL
Zip Code 61603-2414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962789990 Amanda Brooke Wetzel Counselor 2011 N Knoxville Ave, Peoria, IL 61603-2414 2011-11-04
1740632546 Children's Home Association of Illinois Community/Behavioral Health 2011 N Knoxville Ave, Peoria, IL 61603-2414 2016-07-06
1073920054 Kevin William Aldridge Counselor 2011 N Knoxville Ave, Peoria, IL 61603-2414 2014-07-22
1164839486 Timothy Cain Counselor 2011 N Knoxville Ave, Peoria, IL 61603-2414 2014-07-18
1619390119 Christine Rutter Counselor 2011 N Knoxville Ave, Peoria, IL 61603-2414 2014-02-04
1457774671 Regina Bridges Counselor 2011 N Knoxville Ave, Peoria, IL 61603-2414 2014-01-23
1407279821 Janette King Counselor 2011 N Knoxville Ave, Peoria, IL 61603-2414 2014-01-22
1265863153 Ashley Goyer Social Worker 2011 N Knoxville Ave, Peoria, IL 61603-2414 2013-12-03
1881024289 Sara Sue Schnauber Social Worker 2011 N Knoxville Ave, Peoria, IL 61603-2414 2013-11-21
1578992905 Katherine Johnson Counselor 2011 N Knoxville Ave, Peoria, IL 61603-2414 2013-11-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598362980 Courtney Klein Nurse Practitioner 1306 N. Berkley Ave, Peoria, IL 61603 2020-10-08
1114588217 Kong Xing Wang Dentist 320 East Armstrong Ave, Peoria, IL 61603 2019-06-28
1073015319 Sara Kristine Rosenbery Nurse Practitioner 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 2018-03-02
1861860058 Jennifer Michelle Kelsey Clinical Nurse Specialist 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 2015-09-04
1467859793 Bonnie Lansing Counselor 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 2014-12-02
1639597172 Jael K. Mahasi Counselor 1800 Ne Perry Avenue, Peoria, IL 61603 2014-04-02
1992054829 Justin S Ferragut Radiology 530 Northeast Glen Oak Avenue, Peoria, IL 61603 2012-09-06
1780952994 Syed Muhammad Tayyab Internal Medicine 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 2011-12-02
1528389079 St. Francis Medical Center General Acute Care Hospital 530 N E Glen Oak Ave, Peoria, IL 61603 2010-06-18
1780810648 Children's Home Association of Illinois Voluntary or Charitable 400 E. Frye, Peoria, IL 61603 2009-06-05
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487254629 Bernadette Bruha Counselor 10028 W Redbird Rd, Peoria, AZ 85383-3368 2020-10-27
1063020071 Pschertz Counseling Counselor 5016 N University St Ste 101, Peoria, IL 61614-4763 2020-07-15
1427674902 Centerpoint Counseling Associates LLC Counselor 7820 N University St Ste 102b, Peoria, IL 61614-1220 2020-06-22
1962032938 Sheri Orr Counselor 8401 W Desert Elm Ln, Peoria, AZ 85383-3645 2020-01-18
1952958050 Emily Louise Trulson Counselor 3526 N California Ave, Peoria, IL 61603-1168 2019-08-22
1518441997 Jill Johnson Counselor 29267 N 123rd Dr, Peoria, AZ 85383-4074 2018-09-20
1407359367 Lori Bushell Counseling LLC Counselor 2000 W Pioneer Pkwy Ste 20, Peoria, IL 61615-5805 2018-03-16
1114427952 Jessica Anne Hunter Counselor 10184 W Happy Valley Rd Ste 190, Peoria, AZ 85383-1254 2018-02-19
1881101806 Michelle Elizabeth Juslin Counselor 8530 W Caribbean Ln, Peoria, AZ 85381-3531 2017-12-29
1235672973 Amy N Kelch Counselor 4228 N University St, Peoria, IL 61614-6913 2016-11-29
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Competitor

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City PEORIA
Zip Code 61603

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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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