Stephen Gregg Godfrey, PSYD,NCC,LMHC.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC6545 Issued in FL

Practice address

1313 S Washington Ave Ste D
Titusville, FL 32780-4292

Phone

(321) 567-4903

Fax

(321) 567-4904

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1174630065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S WASHINGTON AVE STE D",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804292",
            "telephone_number": "321-567-4903",
            "fax_number": "321-567-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S WASHINGTON AVE STE D",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804292",
            "telephone_number": "321-567-4903",
            "fax_number": "321-567-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "STEPHEN",
        "middle_name": "GREGG",
        "name_prefix": "Mr.",
        "credential": "PSYD,NCC,LMHC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC6545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "20-1237216",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10746677",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Gerlach
• Lauren Nicole Giambanco, M.S. CFY SLP
• Gabriella Guerra Glassford, DC
• James D Glenn, MD
• Nathan Owen Glenn, PTA
• Valerie Lynn Gohil, DPT
• George Gomez-Delrio, MD
• Justo Gonzalez, M.D.
• Jodie Good, OTR/L
• Mary Beth Goodman, LPC

• Mental Health Counselor in Titusville, FL
• Providers in Titusville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.