Active NPI
Rebecca Marie Goodwin, LMFT
- Marriage & Family Therapist
- Mobile, AL
National Provider Identifier
1508469255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- L548
- Practice address
- 1340 Sledge Dr
Mobile, AL 36606-3021 - Phone
- (251) 473-3410
- NPI assigned
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | L548 | AL | Primary |
Addresses
Primary practice location
1340 Sledge Dr
Mobile, AL 36606-3021
Mailing address
1340 Sledge Dr
Mobile, AL 36606-3021
Phone (251) 473-3410
Other practice location 1
22765 US Highway 98
Fairhope, AL 36532-3499
Phone (251) 473-3410
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | collinstherapy@aol.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| L548 | AL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collins Counseling & Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Mobile, AL
- NPI 1043689284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1508469255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 SLEDGE DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366063021",
"telephone_number": "251-473-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 SLEDGE DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366063021",
"telephone_number": "251-473-3410"
}
],
"practiceLocations": [
{
"address_1": "22765 US Highway 98",
"address_purpose": "LOCATION",
"city": "Fairhope",
"state": "AL",
"postal_code": "365323499",
"country_code": "US",
"telephone_number": "251-473-3410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODWIN",
"first_name": "REBECCA",
"middle_name": "MARIE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": "L548",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "collinstherapy@aol.com",
"affiliation": "N",
"endpointDescription": "collinstherapy@aol.com",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1340 Sledge Dr",
"city": "Mobile",
"state": "AL",
"country_code": "US",
"postal_code": "366063021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mobile, AL
- Sarah Catherine Goode, CRNP
- John Russell Goodloe Jr., D.M.D
- Travis Bedsole Goodloe III, MD
- Goodwill Easter Seals of the Gulf Coast
- Miranda Goodwin, LCSW
- Timothy B Goodwin, M.D.
- Gordan Oaks at Greystoke LLC
- Gordon Oaks Convalescent Center, Inc.
- Susan Gordon-Hickey, AU.D., PH.D.
- Amber Shea Gordon, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.