Active NPI
Amanda Goslin, MA, TLMFT
- Marriage & Family Therapist
- Coralville, IA
National Provider Identifier
1336790807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 096035
- Practice address
- 1754 5TH St
Coralville, IA 52241-1819 - Phone
- (319) 351-1949
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 096035 | IA | Primary |
Addresses
Primary practice location
1754 5TH St
Coralville, IA 52241-1819
Mailing address
1606 Sierra Dr NE
Cedar Rapids, IA 52402-6524
Phone (319) 432-4108
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096035 | IA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanda Goslin LMFT, LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
1150 5th St
Ste 261
Coralville, IA 52241
Phone (319) 338-3862
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.
-
- Marriage & Family Therapist
- Coralville, IA
- NPI 1669335584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1336790807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 SIERRA DR NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524026524",
"telephone_number": "319-432-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1754 5TH ST",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522411819",
"telephone_number": "319-351-1949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSLIN",
"first_name": "AMANDA",
"credential": "MA, TLMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "096035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.