William Thomas Goodwin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC007814 Issued in GA

Practice address

2750 Old Alabama Rd Ste 200
Johns Creek, GA 30022

Phone

(678) 893-5300

NPI assigned

May 24, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Summit Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Johns Creek, GA
  • NPI 1477761633

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1346807310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 DOGWOOD RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782005",
            "telephone_number": "678-274-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 OLD ALABAMA RD STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "30022",
            "telephone_number": "678-893-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13680 Highway 9 N Ste 500",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300045170",
            "country_code": "US",
            "telephone_number": "678-893-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Gold
• Jihyeon Gong
• Mylene Lilian Gonzales
• Consuelo Gonzalezsalmeron, RN
• Good Living Wellness Centers, LLC (Hand and Stone Johns Creek)
• Brittany E Gordon
• Johnae Gordon
• Lauren Goring
• Clinton Gouveia, PT, DPT
• Grace Envision LLC

• Mental Health Counselor in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.