Kadie Adah-Ann Goodwin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

259 Bill France Blvd Ste 200
Daytona Beach, FL 32114-1316

Phone

(386) 868-1992

NPI assigned

Mar 21, 2020

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1437785409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 FAIRWAY DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686117",
            "telephone_number": "386-689-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 BILL FRANCE BLVD STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141316",
            "telephone_number": "386-868-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "KADIE",
        "middle_name": "ADAH-ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Gonzalez
• Delia Iris Gonzalez, OTR/L
• Patricia Gonzalez
• Gary Goodenow, MD
• Catherine Goodman, PT
• Krishnan - Gopal, M.D.
• Virginia Ragsdale Gora, M.A., CCC/SLP
• Deanna Dawn Goracke, MSW
• Gayle Ruth Gordon, LICENSED PRACTICAL N
• Malcolm D Gottlich, MD

• Mental Health Counselor in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; 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.