Wade Goodwin, LIMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1104 Issued in NE

Practice address

2811 30TH Ave
Kearney, NE 68845-4036

Phone

(308) 237-6865

NPI assigned

Mar 31, 2009

Last updated

Feb 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Wade Goodwin Counseling Services LLC

  • Mental Health Counselor
  • Kearney, NE
  • NPI 1447676978
  Authorized official Same address or phone

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1144462540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 30TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688454036",
            "telephone_number": "308-237-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 30TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688454036",
            "telephone_number": "308-237-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "WADE",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "8813",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3822",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Samaritan Outreach Services
• Makena Good
• Nancy Jayne Goodban
• Holly Anine Goodell, APRN, FNP-C
• Katherine Lynn Goodwin, D.D.S.
• Hunter Gordon
• Rebecca Lynn Gossett
• Kellie S Gossman, PT, DPT
• Alexandria Graham
• Jaylynn Star Graham, PLMHP, PCMSW

• Mental Health Counselor in Kearney, NE
• Providers in Kearney, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.