Patricia-Louise Marie Goodwin

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CG6152862 Issued in WA

Practice address

1710 Allen St
Kelso, WA 98626-4907

Phone

(360) 261-7020

Fax

(360) 261-7030

NPI assigned

Apr 11, 2024

Sex

Female

Sole proprietor

No

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": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1083468680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 ALLEN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264907",
            "telephone_number": "360-261-7020",
            "fax_number": "360-261-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "PATRICIA-LOUISE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG6152862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Geisler
• Fatehbir Singh Gill, MD
• Derrick Edward Glassman, CCC-SLP
• Anabell Gonzalez
• Kerry Jo Goodman, LPN
• Alexander Gordon, OTR/L
• Rebecca L Gorley
• Julie Ann Greco, PHARM.D.
• Janet Elaine Greenslade, PA
• Alexandra Ellen Grumbois

• Counselor in Kelso, WA
• Providers in Kelso, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.