Juan Antonio Godoy, CADC II

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A021740216 Issued in CA

Practice address

78140 Calle Tampico
La Quinta, CA 92253-2900

Phone

(760) 863-7970

NPI assigned

Jan 13, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1154743946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78140 CALLE TAMPICO",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532900",
            "telephone_number": "760-863-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78140 CALLE TAMPICO",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532900",
            "telephone_number": "760-863-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODOY",
        "first_name": "JUAN",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "CADC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-13",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "A021740216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SanDiego",
            "affiliation": "N",
            "endpointDescription": "SanDiego",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "San Diego",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "San Diego",
            "address_1": "3148 Midway Dr Ste 113",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921104539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeanie L Garza
• Anna M Geiger
• Gerald Brett Weiss M.D. Inc.
• Brian Gery, MD
• Lanae Glosson
• Emily Mariah Gonzalez Poulos
• Wilver Israel Gonzalez-Galdamez, DPT
• Edith Gonzalez-Werner, M. D.
• Marie Rallie Goodson, MS-CCC-SLP
• Steven P Gorman, M.D.

• All providers in La Quinta, CA
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.