Individual provider Active NPI

Amy A Goodwin, LPC, CACIII

  • Mental Health Counselor
  • Steamboat Springs, CO
National Provider Identifier
1073708590
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5378 Issued in CO
Practice address
810 Lincoln Ave
Steamboat Springs, CO 80487-5005
Phone
(970) 879-7637
NPI assigned
Sep 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6584 CO
Mental Health Counselor 101YM0800X 5378 CO Primary

Addresses

Primary practice location

810 Lincoln Ave
Steamboat Springs, CO 80487-5005

Mailing address

PO Box 882917
810 Lincoln Ave
Steamboat Springs, CO 80488-2917
Phone (970) 879-7637

Other identifiers 1

IdentifierTypeStateIssuer
5378OtherLICENSED PROFESSIONAL COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403000784 CO Practitioner - Mental Health Counselor 4880954528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1100 Central Park Dr
Suite 1050
Steamboat Springs, CO 80487-8818
Phone (970) 870-1035

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

595 Russell St
Craig, CO 81625-1920
Phone (970) 824-1020

940 Central Park Dr
Steamboat SPR, CO 80487-8853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6584COMDAddiction (Substance Use Disorder) Counselor
5378COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Mar 1, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 1, 2024 Accepting new patients
Sky Mental Health LLC PastSince Oct 7, 2025 Accepting new patients
Yampa Valley Medical Center Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

595 Russell St
Craig, CO 81625
Phone (970) 824-1020

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

3001 S Lincoln Ave
Ste A
Steamboat Springs, CO 80487
Phone (970) 871-2363

1100 Central Park Dr
Ste 1050
Steamboat Springs, CO 80487
Phone (970) 870-1035

940 Central Park Dr
Ste 191
Steamboat Springs, CO 80487
Phone (970) 875-2633

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1073708590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882917",
            "address_2": "810 LINCOLN AVE",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804882917",
            "telephone_number": "970-879-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 LINCOLN AVE",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804875005",
            "telephone_number": "970-879-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "AMY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPC, CACIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6584",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "5378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "5378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

Verify at the official NPI Registry.