Dakota R Goodman, SAC-IT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

18868-130 Issued in WI

Practice address

2213 E Main St
Reedsburg, WI 53959-9439

Phone

(608) 768-4545

NPI assigned

Jun 18, 2019

Sex

Female

Sole proprietor

Yes

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

Practice roles

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

• Goodman'S Behavioral Health Clinic, LLC

  • Community/Behavioral Health Agency
  • Reedsburg, WI
  • NPI 1740458363
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1114587540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 E MAIN ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539599439",
            "telephone_number": "608-768-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 E MAIN ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539599439",
            "telephone_number": "608-768-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "DAKOTA",
        "middle_name": "R",
        "credential": "SAC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "18868-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Gasser, LCSW
• Kathryn Ann Geffert, RN
• Peter Gertonson, D.O.
• Barbara G Goodman, MSSW
• Brea K Goodman, SAC-IT
• Goodman'S Behavioral Health Clinic, LLC
• Faith Goodreau, RDN
• Rachel Gottschalk
• Dana Lyn Gray, R.M.T.
• Jeramy J Greenwood

• Addiction (Substance Use Disorder) Counselor in Reedsburg, WI
• Providers in Reedsburg, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.