Terry Goodspeed

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1903 Issued in KS

Practice address

3751 W Main St
Independence, KS 67301-8446

Phone

(620) 331-1748

NPI assigned

Sep 2, 2006

Last updated

Dec 1, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Four County Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Independence, KS
  • NPI 1841290251
  NPD
• Four County Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Independence, KS
  • NPI 1598845984
  NPD

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1427150309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673010688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 W MAIN ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673018446",
            "telephone_number": "620-331-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSPEED",
        "first_name": "TERRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "LCAC 300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100322170B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "069573",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenwood Estate, Inc. (Heatherwood Estate)
• Glenwood Estate, Inc. (Regal Estate of Glenwood)
• Karijean Goins
• Jessica Gonzalez
• Shannon Cheri Goode
• Grant M Webster DMD Family Dentistry LLC
• Gregory H. Mears, DO (Mears Medical Enterprises)
• Guyll Pharmacy Inc
• Carl G Guyll, RPH
• Cori Nichole Hall, DPT

• Clinical Social Worker in Independence, KS
• Providers in Independence, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.