Individual provider Active NPI

Jeanette Louise Goetz, LPC LADC

  • Addiction (Substance Use Disorder) Counselor
  • Tulsa, OK
National Provider Identifier
1316958515
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
42 Issued in OK
Practice address
7941 E 57TH St
#7
Tulsa, OK 74145
Phone
(918) 671-6504
Fax
(918) 664-1117
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 42 OK Primary
Psychologist 103T00000X 1902 OK

Addresses

Primary practice location

7941 E 57TH St
#7
Tulsa, OK 74145

Mailing address

7941 E 57TH St
#7
Tulsa, OK 74145
Phone (918) 671-6504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
42OKMDAddiction (Substance Use Disorder) Counselor
1902OKMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1316958515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7941 E 57TH ST",
            "address_2": "#7",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74145",
            "telephone_number": "918-671-6504",
            "fax_number": "918-664-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7941 E 57TH ST",
            "address_2": "#7",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74145",
            "telephone_number": "918-671-6504",
            "fax_number": "918-664-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "JEANETTE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LPC LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "42",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "1902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.