Antonio Godoy, RADT-I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R14852100922 Issued in CA

Practice address

4 7TH St # B
Eureka, CA 95501-0226

Phone

(707) 601-2969

Fax

(707) 798-1321

NPI assigned

Apr 23, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Redwood Recovery Center

  • Recovery Care Clinic/Center
  • Eureka, CA
  • NPI 1003539776
  NPD

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1275320186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 1/2 2ND AVE",
            "city": "RIO DELL",
            "state": "CA",
            "postal_code": "955628507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 7TH ST # B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010226",
            "telephone_number": "707-601-2969",
            "fax_number": "707-798-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODOY",
        "first_name": "ANTONIO",
        "credential": "RADT-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R14852100922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Tiana Violet Glass
• Kyle Glodow, RN
• Hudson James Glover III
• Mari Glynn
• Madison Goddard
• Michele Virginia Goldberg
• Sarah Abigail Goldberg, MFT
• Anastasia Golden, PHARMD
• Mallory Amber Golden, REGISTERED NURSE
• Mark Steven Goldhawk, LMFT

• Addiction (Substance Use Disorder) Counselor in Eureka, CA
• Providers in Eureka, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.