Active NPI
Suzanne Godfrey, LCPC, NCC
- Counselor
- Blackfoot, ID
National Provider Identifier
1033653035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LCPC-5170
- Practice address
- 98 Poplar St
Third Floor
Blackfoot, ID 83221-1758 - Phone
- (208) 785-3800
- Fax
- (208) 785-3876
- NPI assigned
- Dec 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LCPC-5170 | ID | Primary |
Addresses
Primary practice location
98 Poplar St
Third Floor
Blackfoot, ID 83221-1758
Mailing address
98 Poplar St
Third Floor
Blackfoot, ID 83221-1758
Phone (208) 785-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-5170 | ID | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1033653035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"address_2": "THIRD FLOOR",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211758",
"telephone_number": "208-785-3800",
"fax_number": "208-785-3876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"address_2": "THIRD FLOOR",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211758",
"telephone_number": "208-785-3800",
"fax_number": "208-785-3876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODFREY",
"first_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "LCPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-09",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LCPC-5170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.