Active NPI
Danielle Nicole Godwin
- Counselor
- Suffolk, VA
National Provider Identifier
1326690199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3322
- Practice address
- 112 W Washington St Ste 504
Suffolk, VA 23434-5246 - Phone
- (757) 281-8366
- NPI assigned
- Jul 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3322 | VA | Primary |
Addresses
Primary practice location
112 W Washington St Ste 504
Suffolk, VA 23434-5246
Mailing address
112 W Washington St Ste 504
Suffolk, VA 23434-5246
Phone (757) 281-8366
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3322 | VA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enhancing Minds LLC | Counselor | Current | Accepting new patients |
Locations
112 W Washington St
Ste 504
Suffolk, VA 23434
Phone (757) 281-8366
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1326690199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 W WASHINGTON ST STE 504",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234345246",
"telephone_number": "757-281-8366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 W WASHINGTON ST STE 504",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234345246",
"telephone_number": "757-281-8366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODWIN",
"first_name": "DANIELLE",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-11",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "3322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.