Active NPI
Dacota Goodwin
- Mental Health Counselor
- Washington, DC
National Provider Identifier
1053920090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 200001698
- Practice address
- 3301 Wheeler Rd SE
Washington, DC 20032-4129 - Phone
- (312) 965-2997
- NPI assigned
- Jul 27, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 200001698 | DC | Primary |
Addresses
Primary practice location
3301 Wheeler Rd SE
Washington, DC 20032-4129
Mailing address
6319 Walden Ave
Chattanooga, TN 37421-2329
Phone (423) 227-3861
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 |
|---|---|---|---|
| 200001698 | DC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1053920090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6319 WALDEN AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212329",
"telephone_number": "423-227-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 WHEELER RD SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324129",
"telephone_number": "312-965-2997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "DACOTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "200001698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.