Laurie Goddard, M.A.E., ED.S

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3508 Issued in FL

Practice address

4703 NW 53Rd Ave
Suite a-2
Gainesville, FL 32653-3415

Phone

(352) 332-6131

NPI assigned

May 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1063860468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 NW 34TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052543",
            "telephone_number": "352-448-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 NW 53RD AVE",
            "address_2": "SUITE A-2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326533415",
            "telephone_number": "352-332-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2631 NW 41st St Ste E6",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326066689",
            "country_code": "US",
            "telephone_number": "352-448-1898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "LAURIE",
        "name_prefix": "Mrs.",
        "credential": "M.A.E., ED.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asa Lawrence Godbey Jr., MD
• Dedrie Godbolt
• April Ann Goddard, PA-C
• David Alan Goddard, PA
• Emily Reiter Goddard, MD
• Yvette M Godet, D.M.D.
• John Joseph Godfrey, AP
• Kara Elizabeth Godwin, ARNP
• Lacee Godwin
• Tori Ann Godwin

• Marriage & Family Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.