Individual provider Active NPI

Samantha Goodall, LPC

  • Professional Counselor
  • Hutchinson, KS
National Provider Identifier
1124973235
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1600 N Lorraine St
Hutchinson, KS 67501-5670
Phone
(620) 663-7595
NPI assigned
Mar 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X KS Primary

Addresses

Primary practice location

1600 N Lorraine St
Hutchinson, KS 67501-5670

Mailing address

130 E Oak St
Little River, KS 67457-9185

Other practice location 1

130 E Oak St
Little River, KS 67457-9185
Phone (620) 504-8806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260406001708 KS Practitioner - Mental Health Counselor 1052886249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizons Mental Health Center, Inc.Group PAC ID 2163418120, 44 clinicians

Practice addresses (Care Compare)

1600 N Lorraine St
Suite 202
Hutchinson, KS 67501-5600
Phone (620) 663-7595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1124973235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E OAK ST",
            "city": "LITTLE RIVER",
            "state": "KS",
            "postal_code": "674579185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015670",
            "telephone_number": "620-663-7595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 E Oak St",
            "address_purpose": "LOCATION",
            "city": "Little River",
            "state": "KS",
            "postal_code": "674579185",
            "country_code": "US",
            "telephone_number": "620-504-8806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODALL",
        "first_name": "SAMANTHA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.