Active NPI
Tara Godhwani, M.S., NCC, LPC-I
- Professional Counselor
- Dallas, TX
National Provider Identifier
1114582582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 81819
- Practice address
- 6803 Hillcrest Ave
Dallas, TX 75205-1308 - Phone
- (214) 363-4420
- NPI assigned
- May 1, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 81819 | TX | Primary |
Addresses
Primary practice location
6803 Hillcrest Ave
Dallas, TX 75205-1308
Mailing address
3444 Briargrove LN
Dallas, TX 75287-6000
Phone (281) 704-0112
Other practice location 1
1033 Long Prairie Rd Ste 4
Flower Mound, TX 75022-4230
Phone (214) 285-2555
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81819 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1114582582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3444 BRIARGROVE LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752876000",
"telephone_number": "281-704-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6803 HILLCREST AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752051308",
"telephone_number": "214-363-4420"
}
],
"practiceLocations": [
{
"address_1": "1033 Long Prairie Rd Ste 4",
"address_purpose": "LOCATION",
"city": "Flower Mound",
"state": "TX",
"postal_code": "750224230",
"country_code": "US",
"telephone_number": "214-285-2555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODHWANI",
"first_name": "TARA",
"credential": "M.S., NCC, LPC-I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-01",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "81819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.