Active NPI
Tonya M Goodwin-Daly, PLMHP, PLADC,
- Mental Health Counselor
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12089
- Practice address
- 9910 N 48TH St Ste 111
Omaha, NE 68152-1548 - Phone
- (402) 813-8244
- Fax
- (844) 486-0274
- NPI assigned
- May 22, 2018
- Last updated
- Apr 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-1711 | NE | |
| Mental Health Counselor | 101YM0800X | 12089 | NE | Primary |
Addresses
Primary practice location
9910 N 48TH St Ste 111
Omaha, NE 68152-1548
Mailing address
9910 N 48TH St Ste 111
Omaha, NE 68152-1548
Phone (402) 813-8244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026811800 | Medicaid | NE |
Other names 1
- Tonya M Goodwin-Daly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7101 Newport Ave
Omaha, NE 68152-2164
Phone (402) 572-2905
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-1711 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 12089 | NE | MD | Mental Health Counselor |
| 3839 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Health | Multi-Specialty | Current | Accepting new patients |
| Rainwood Healing Space-LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Rainwood Healing Space- LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Nebraska Family Support Network | Current | Accepting new patients | |
| Alegent Creighton Health | Current | Accepting new patients |
Locations
2771 Solution Ctr
Chicago, IL 60677
7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905
9910 N 48th St
Ste 111
Omaha, NE 68152
Phone (402) 612-0388
Organizations & group practices 5
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.
-
dba CHI Health
- Internal Medicine Physician
- Omaha, NE
- NPI 1033288923
Multi-Specialty
-
- Addiction (Substance Use Disorder) Counselor
- Omaha, NE
- NPI 1235776147
-
- Mental Health Counselor
- Omaha, NE
- NPI 1093353096
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Omaha, NE
- NPI 1578086294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1437640760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 N 48TH ST STE 111",
"city": "OMAHA",
"state": "NE",
"postal_code": "681521548",
"telephone_number": "402-813-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9910 N 48TH ST STE 111",
"city": "OMAHA",
"state": "NE",
"postal_code": "681521548",
"telephone_number": "402-813-8244",
"fax_number": "844-486-0274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN-DALY",
"first_name": "TONYA",
"middle_name": "M",
"credential": "PLMHP, PLADC,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "P-1711",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "12089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026811800",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TONYA",
"last_name": "GOODWIN-DALY",
"middle_name": "M",
"credential": "PLMHP, PLADC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.