Individual provider Active NPI

Cynthia Faye Godley, MS THERAPIST

  • Mental Health Counselor
  • Lacey, WA
National Provider Identifier
1225401524
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
052356162 Issued in GA
Practice address
3800 14TH Ave SE Apt C112
Lacey, WA 98503-2203
Phone
(678) 551-0509
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 052356162 GA Primary

Addresses

Primary practice location

3800 14TH Ave SE Apt C112
Lacey, WA 98503-2203

Mailing address

3800 14TH Ave SE Apt C112
Lacey, WA 98503-2203
Phone (678) 551-0509

Other practice location 1

1902 96th St S
Tacoma, WA 98444-2808
Phone (253) 328-6641 ext. 212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
052356162GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1225401524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 14TH AVE SE APT C112",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032203",
            "telephone_number": "678-551-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 14TH AVE SE APT C112",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032203",
            "telephone_number": "678-551-0509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 96th St S",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984442808",
            "country_code": "US",
            "telephone_number": "253-328-6641 x212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODLEY",
        "first_name": "CYNTHIA",
        "middle_name": "FAYE",
        "credential": "MS  THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "052356162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.