Eric Goodpaster, TEACHING CERTIFICATE
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Miami, OK
NPI 1053734236 · NPPES record last updated Jan 24, 2014
Key facts
- NPI
- 1053734236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 130 W Steve Owens Blvd
Miami, OK 74354-7629 - Phone
- (918) 542-2845
- NPI assigned
- Jan 24, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Oklahoma Council on Alcoholism, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
130 W Steve Owens Blvd
Miami, OK 74354-7629
Mailing address
130 W Steve Owens Blvd
Miami, OK 74354-7629
Phone (918) 542-2845
Other providers in Miami, OK
- Glmhc Pharmacy LLC
- Kathy S Glover
- Bryna Goins
- Jessie Louise Gonzales
- Blake Alexnder Gonzalez
- Skylar Keaton Gordon
- Leeanna Goza
- Kylee Graham
- Michelle Lynn Graham
- Grand Lake Mental Health
All providers in Miami, OK · Addiction (Substance Use Disorder) Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.