Elizabeth L Godwin, MFT ASSOCIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ASSOCIATE # 58 Issued in AL

Practice address

101 Perryman Street Hwy 31
Compass Academy
Evergreen, AL 36401

Phone

(251) 578-0017

Fax

(251) 578-2405

NPI assigned

Oct 12, 2007

Last updated

Oct 12, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1437347572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 APPLETON RD",
            "city": "CASTLEBERRY",
            "state": "AL",
            "postal_code": "364325542",
            "telephone_number": "251-578-0017",
            "fax_number": "251-578-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PERRYMAN STREET HWY 31",
            "address_2": "COMPASS ACADEMY",
            "city": "EVERGREEN",
            "state": "AL",
            "postal_code": "36401",
            "telephone_number": "251-578-0017",
            "fax_number": "251-578-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "MFT ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ASSOCIATE # 58",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Evergreen, AL
• Providers in Evergreen, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.