Active NPI
Tara Goodson
- Professional Counselor
- Shawnee, OK
National Provider Identifier
1083039101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1605 N Harrison St
Shawnee, OK 74804-4022 - Phone
- (405) 380-8033
- NPI assigned
- Feb 26, 2014
- Last updated
- May 27, 2016
- 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 | Primary |
Addresses
Primary practice location
1605 N Harrison St
Shawnee, OK 74804-4022
Mailing address
2064 Hwy 27
Wetumka, OK 74883
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1083039101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2064 HWY 27",
"city": "WETUMKA",
"state": "OK",
"postal_code": "74883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 N HARRISON ST",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748044022",
"telephone_number": "405-380-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODSON",
"first_name": "TARA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-26",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, OK
- Golden Age Health Care, Inc. (Alleve Home Care)
- Golden Rule Senior Properties, LLC (The Golden Rule Home)
- Kaitlin Gonzales
- Good Life Enterprises, Inc.
- Rachel Alexandra Good
- Holly J Gordon
- Sarah Jolee Gordon, PT
- Kelly Jon Gose
- Gustavo Lawrence Govin III, DDS MS
- Gracious Freedom Counseling Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.