Individual provider Active NPI

Sheila Goodteacher, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Atwater, CA
National Provider Identifier
1104339555
Registry record updated Aug 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
12081529 Issued in SD
Practice address
559 Mendocino CT
Atwater, CA 95301
Phone
(209) 357-5261
NPI assigned
Nov 8, 2017
Last updated
Aug 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12081529 SD Primary

Addresses

Primary practice location

559 Mendocino CT
Atwater, CA 95301

Mailing address

559 Mendocino CT
Atwater, CA 95301-4230
Phone (209) 357-5261

Other practice location 1

388 Dakota Ave
Sisseton, SD 57262-3327
Phone (605) 698-3918 ext. 104

Other practice location 2

388 Dakota Ave
Sisseton, SD 57262-3327
Phone (605) 698-3918 ext. 104

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

LicenseStateTypeSpecialty
12081529SDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dakotah Pride Center Sisseton Wahpeton Oyate Past Accepting new patients
Rose Julia Riordan Tranquility Village PastSince Aug 18, 2019 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1104339555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 MENDOCINO CT",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014230",
            "telephone_number": "209-357-5261",
            "fax_number": "209-357-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 MENDOCINO CT",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "95301",
            "telephone_number": "209-357-5261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "388 Dakota Ave",
            "address_purpose": "LOCATION",
            "city": "Sisseton",
            "state": "SD",
            "postal_code": "572623327",
            "country_code": "US",
            "telephone_number": "605-698-3918 x104",
            "fax_number": "605-698-4449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "388 Dakota Ave",
            "address_purpose": "LOCATION",
            "city": "Sisseton",
            "state": "SD",
            "postal_code": "572623327",
            "country_code": "US",
            "telephone_number": "605-698-3918 x104",
            "fax_number": "605-698-4449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODTEACHER",
        "first_name": "SHEILA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "12081529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, CA

Sources for this page

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

Verify at the official NPI Registry.