Goodneighbor, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

GOODNEIGHBOR, LLC

Practice address

1012 Main St
Canon City, CO 81212-3465

Phone

(719) 406-8073

NPI assigned

Feb 8, 2017

Organization subpart

No

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

Authorized official

Name

Evguenia Guentcheva, LPCNPI 1497882393

Title

Owner

Phone

(719) 406-8073

Specialties & licenses 2

Addresses

Tax ID family

Goodneighbor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Goodneighbor

  • Homemaker
  • Canon City, CO
  • NPI 1427620897
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evguenia Guentcheva, LAC

  • Professional Counselor
  • Canon City, CO
  • NPI 1497882393

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1245778307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CANDLEWOOD DR",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MAIN ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123465",
            "telephone_number": "719-406-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODNEIGHBOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "GUENTCHEVA",
        "authorized_official_first_name": "EVGUENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-406-8073",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glorious Works Neurotherapy
• William Shaun Gogarty, M.D.
• Britt Taylene Gomer, MS CCC-SLP
• Ramona L Gonzales, BS
• Goodneighbor
• Mikaela R Goodwater, FNP-C
• Sidney Brent Goodwin, O.D.
• Terri L. Gorman, L.C.S.W.
• Kristy Gotham
• James Gowdy

• Professional Counselor in Canon City, CO
• Providers in Canon City, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.