JEFFREY D GOODWIN (NPI# 1811441132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811441132 |
| Entity Type | Individual |
| Full Name | JEFFREY D GOODWIN |
| Credential | M.DIV, M.A., LLPC |
| Practice Address |
430 Fair St. Traverse City MI 49686 |
| Mailing Address |
10716 Watson Rd Williamsburg MI 49690 |
| Practice Telephone | 2313929687 |
| Mailing Telephone | 2313929687 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401014906 | Behavioral Health & Social Service Providers | |
| N | 101YP2500X |
Counselor Specialization: Professional |
6401014906 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881665404 | Jeffrey Thomas Goodwin | Radiology | 7007 S Shore Dr, Altoona, WI 54720-2381 | 2006-01-31 |
| 1639531999 | Jeffrey David Goodwin | Urology | 800 Rose St, Lexington, KY 40536-7001 | 2016-03-25 |
| 1649609967 | Jeffrey Goodwin | Pharmacist | 5600 Debarr Rd, Anchorage, AK 99504-2300 | 2013-11-07 |
| 1295862118 | Jeffrey G. Goodwin | Chiropractor | 1223 W Mcdermott Dr, Suite 70, Allen, TX 75013-6412 | 2007-02-27 |
| Street Address |
430 FAIR ST. |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| 1417346966 | East Bay Psychology, PC | Psychologist | 3926 Village Circle Dr., Traverse City, MI 49686 | 2015-01-21 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790429 | Jules Shellby | Counselor | 812 S Garfield Ave Ste J, Traverse City, MI 49686-3456 | 2018-11-29 |
| 1235614363 | Margaret Jean Fedder | Counselor | 13561 S West Bay Shore Dr Ste 306, Traverse City, MI 49684-6292 | 2018-09-25 |
| 1508373978 | Jacqueline Marie Conger | Counselor | 13561 S West Bay Shore Dr Ste 204, Traverse City, MI 49684-6292 | 2018-01-06 |
| 1679089072 | Lindsay Sea Wills | Counselor | 810 Cottageview Dr Ste 102, Traverse City, MI 49684-2392 | 2017-12-20 |
| 1245779362 | Erika L Spaulding | Counselor | 4407 N Long Lake Rd, Traverse City, MI 49684-9798 | 2017-02-22 |
| 1154778603 | Troy A Elenbaas | Counselor | 12720 S West Bay Shore Dr, Traverse City, MI 49684-5451 | 2016-05-14 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1063816726 | Jessica Kelley | Counselor | 720 Wayne St, Traverse City, MI 49684-1493 | 2014-10-09 |
| 1316356074 | Nicole Devol | Counselor | 3642 Orchard Vw, Traverse City, MI 49684-8940 | 2014-08-07 |
| 1003245564 | Kimberly Manrique | Counselor | 5798 Deer Trail Dr, Traverse City, MI 49684-8479 | 2013-11-05 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
Please comment or provide details below to improve the information on JEFFREY D GOODWIN.
| 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.