Active NPI
Nequila Nicole Goods-Guidry, LPC
- Professional Counselor
- Conroe, TX
National Provider Identifier
1063061141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 77609
- Practice address
- 15860 Old Conroe Rd
Conroe, TX 77384-3485 - Phone
- (936) 527-0752
- NPI assigned
- Sep 10, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 77609 | TX | Primary |
Addresses
Primary practice location
15860 Old Conroe Rd
Conroe, TX 77384-3485
Mailing address
78 Champion Villa Dr
Houston, TX 77069-1428
Phone (404) 840-1783
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 |
|---|---|---|---|
| 77609 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1063061141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 CHAMPION VILLA DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770691428",
"telephone_number": "404-840-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15860 OLD CONROE RD",
"city": "CONROE",
"state": "TX",
"postal_code": "773843485",
"telephone_number": "936-527-0752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODS-GUIDRY",
"first_name": "NEQUILA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "77609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.