Dioselina Ruiz Godbold, MA, LPCI, CT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6707 Issued in SC

Practice address

12117 Ocean Hwy
Pawleys Island, SC 29585-7941

Phone

(843) 237-8231

NPI assigned

Mar 18, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dio Godbold Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521331200000",
    "number": "1053814871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 AVALON DR",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295755444",
            "telephone_number": "843-798-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12117 OCEAN HWY",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857941",
            "telephone_number": "843-237-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODBOLD",
        "first_name": "DIOSELINA",
        "middle_name": "RUIZ",
        "credential": "MA, LPCI, CT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIO",
            "last_name": "GODBOLD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Professional Counselor in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.