Elizabeth Anne Godthaab

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

275992 Issued in KY

Practice address

1316 Frederica St
Owensboro, KY 42301-4801

Phone

(270) 686-7999

Fax

(270) 686-8092

NPI assigned

Feb 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Counseling Associates

  • Group Psychotherapy Psychologist
  • Owensboro, KY
  • NPI 1861530610
  NPD (past)
• Counseling Associates of Owensboro, PLC

  • Clinical Social Worker
  • Owensboro, KY
  • NPI 1548745425
  NPD (past)

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1255830337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014801",
            "telephone_number": "270-686-7999",
            "fax_number": "270-686-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014801",
            "telephone_number": "270-686-7999",
            "fax_number": "270-686-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODTHAAB",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "9373",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "275992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9373",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher C Glaser, MD
• Shannon B. Gleason, APRN
• Kathleen A Glenn, PA
• Stevie Glenn
• Glow Therapeutic Services of Kentucky, LLC
• Eric Alan Goebel, MD
• Ashley R Goedde, APRN
• Stephanie Goerz, LPCA
• Caleb Goetz
• Diane Michelle Goetz, APRN

• Professional Counselor in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.