Andrea Eve Goff, QMHA-R, CADC-I, CRM

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

21-01-10061 Issued in OR

Practice address

104 4TH Ave SW
Albany, OR 97321-2804

Phone

(541) 967-3866

NPI assigned

Aug 31, 2017

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• CRC Health Oregon, LLC

  dba Willamette Valley Treatment Center

  • Methadone Clinic
  • Salem, OR
  • NPI 1427397074
  NPD (past)
• CRC Health Oregon, LLC

  dba Albany Comprehensive Treatment Center

  • Methadone Clinic
  • Albany, OR
  • NPI 1811561731
  NPD (past)
• Creekside Counseling Inc

  • Addiction (Substance Use Disorder) Counselor
  • Salem, OR
  • NPI 1215139720
  NPD (past)
• Creekside Counseling, Inc

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1063757250
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1225556095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973210031",
            "telephone_number": "541-967-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 4TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212804",
            "telephone_number": "541-967-3866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Liberty St SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973024143",
            "country_code": "US",
            "telephone_number": "503-391-9762",
            "fax_number": "503-391-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOFF",
        "first_name": "ANDREA",
        "middle_name": "EVE",
        "credential": "QMHA-R, CADC-I, CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-19-379",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "17-CRM-124",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "21-01-10061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent W Godek, M.D.
• Paula J Godfrey, D.O.
• Christopher Goeke
• Gregory Dietrich Goessman, DDS
• Brittaini Lanika Goettl
• Michael Jack Goger, DMD
• Ariane Goins, LMT
• Alec Goldammer
• Kathryn Ann Goldberg
• Donna Marie Goldner, R.N.

• Addiction (Substance Use Disorder) Counselor in Albany, OR
• Providers in Albany, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.