Individual provider Active NPI

Amanda Goslin, MA, TLMFT

  • Marriage & Family Therapist
  • Coralville, IA
National Provider Identifier
1336790807
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
096035 Issued in IA
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

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
096035IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.