Active NPI
Vickie June Godwin, LMFT
- Marriage & Family Therapist
- Hollis, OK
National Provider Identifier
1104961325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1020
- Practice address
- 400 E Sycamore St
Hollis, OK 73550-1436 - Phone
- (580) 688-2800
- Fax
- (580) 688-2193
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1020 | OK | Primary |
Addresses
Primary practice location
400 E Sycamore St
Hollis, OK 73550-1436
Mailing address
400 E Sycamore St
Hollis, OK 73550-1436
Phone (580) 688-2800
Other practice location 1
1108 S Mockingbird Ln
Skiatook, OK 74070-1728
Phone (918) 398-0824
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1020 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1104961325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E SYCAMORE ST",
"city": "HOLLIS",
"state": "OK",
"postal_code": "735501436",
"telephone_number": "580-688-2800",
"fax_number": "580-688-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E SYCAMORE ST",
"city": "HOLLIS",
"state": "OK",
"postal_code": "735501436",
"telephone_number": "580-688-2800",
"fax_number": "580-688-2193"
}
],
"practiceLocations": [
{
"address_1": "1108 S Mockingbird Ln",
"address_purpose": "LOCATION",
"city": "Skiatook",
"state": "OK",
"postal_code": "740701728",
"country_code": "US",
"telephone_number": "918-398-0824",
"fax_number": "918-398-0824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODWIN",
"first_name": "VICKIE",
"middle_name": "JUNE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "1020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollis, OK
- Justin Cade Cole, DOCTOR OF PHARMACY
- Beverly Cooper, FNPC
- Cayden James Crume
- Erica E De Santos, A.P.R.N
- William Paul Estes, DDS
- Harmon County Healthcare Authority
- Harmon County Healthcare Authority
- Harmon County Healthcare Authority
- Harmon County Healthcare Authority
- Harmon County Healthcare Trust Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.