Song Godwin Counseling

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0004599 Issued in CO

Legal business name

SONG GODWIN COUNSELING

Practice address

7061 S University Blvd
Suite 5
Centennial, CO 80122-1532

Phone

(720) 934-1302

Fax

(720) 283-4256

NPI assigned

Apr 22, 2015

Organization subpart

No

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

Authorized official

Name

Todd Godwin, CAC III

Title

Office Manager

Phone

(720) 934-1302

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1316334808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7061 S UNIVERSITY BLVD",
            "address_2": "SUITE 5",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221532",
            "telephone_number": "720-934-1302",
            "fax_number": "720-283-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7061 S UNIVERSITY BLVD",
            "address_2": "SUITE 5",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221532",
            "telephone_number": "720-934-1302",
            "fax_number": "720-283-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG GODWIN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "720-934-1302",
        "authorized_official_credential": "CAC III"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0004599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Centennial, CO by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.