Individual provider Active NPI

Nikki Ann Goodenough - Lacina, LPC

  • Professional Counselor
  • Grand Junction, CO
National Provider Identifier
1437575453
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0012779 Issued in CO
Practice address
2338 Rattlesnake CT Apt a
Grand Junction, CO 81507-2659
Phone
(661) 860-3762
NPI assigned
Mar 14, 2014
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 001117 CT
Professional Counselor 101YP2500X LPC0012779 CO
Professional Counselor 101YP2500X 0012779 CO Primary

Addresses

Primary practice location

2338 Rattlesnake CT Apt a
Grand Junction, CO 81507-2659

Mailing address

2338 Rattlesnake CT Apt a
Grand Junction, CO 81507-2659
Phone (661) 860-3762

Other practice location 1

3363 C Rd
Palisade, CO 81526-9533
Phone (970) 523-1445

Other identifiers 3

IdentifierTypeStateIssuer
876114OtherCOBEACON HEALTH OPTIONS, INC.
876114MedicaidCO
LPC0012779OtherCOSTATE OF COLORADO LICENSE NUMBER LPC

Other names 1

  • Nikki Ann Goodenough - Lacina Professional name

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

State licenses

LicenseStateTypeSpecialty
0012779COMDProfessional Counselor
LPC0012779COMDProfessional Counselor
001117CTMDNutrition Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1437575453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 RATTLESNAKE CT APT A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815072659",
            "telephone_number": "661-860-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 RATTLESNAKE CT APT A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815072659",
            "telephone_number": "661-860-3762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3363 C Rd",
            "address_purpose": "LOCATION",
            "city": "Palisade",
            "state": "CO",
            "postal_code": "815269533",
            "country_code": "US",
            "telephone_number": "970-523-1445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODENOUGH - LACINA",
        "first_name": "NIKKI",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2026-10-04",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001117",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0012779",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0012779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH OPTIONS, INC.",
            "identifier": "876114",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876114",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO LICENSE NUMBER LPC",
            "identifier": "LPC0012779",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "GOODENOUGH - LACINA",
            "middle_name": "ANN",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; 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.