Active NPI
Garrett Thomas Goff, RN, BSN, NIH
- Psychiatric/Mental Health Registered Nurse
- Colorado Springs, CO
National Provider Identifier
1518598010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 980416
- Practice address
- 2135 Southgate Rd
Colorado Springs, CO 80906-2693 - Phone
- (719) 329-5300
- NPI assigned
- Feb 3, 2020
- Last updated
- Apr 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 980416 | TX | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 980416 | TX | |
| Home Health Registered Nurse | 163WH0200X | 1667133 | CO | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 980416 | TX | Primary |
Addresses
Primary practice location
2135 Southgate Rd
Colorado Springs, CO 80906-2693
Mailing address
2620 Grand Vista Cir Apt 110
Colorado Springs, CO 80904-5253
Phone (214) 726-6105
Other practice location 1
2270 La Montana Way
Colorado Springs, CO 80918-6715
Phone (254) 212-6743
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 980416 | Other | TX | REGISTERED NURSE LIC. TEXAS BON (ORIGINAL ISSUING AGENCY) |
| RN.1667133 | Other | CO | REGISTERED NURSE LICENSE |
| NJDCATEMP-000803 | Other | NJ | REGISTERED PROFESSIONAL NURSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | garrettgoff@mailfence.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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 980416 | TX | MD | Addiction (Substance Use Disorder) Registered Nurse |
| 1667133 | CO | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peaks Recovery Centers LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Illness Community Based Residential Treatment Facility
- Colorado Springs, CO
- NPI 1275029902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1518598010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 GRAND VISTA CIR APT 110",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809045253",
"telephone_number": "214-726-6105",
"fax_number": "469-533-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 SOUTHGATE RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809062693",
"telephone_number": "719-329-5300"
}
],
"practiceLocations": [
{
"address_1": "2270 La Montana Way",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809186715",
"country_code": "US",
"telephone_number": "254-212-6743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOFF",
"first_name": "GARRETT",
"middle_name": "THOMAS",
"credential": "RN, BSN, NIH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-03",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "980416",
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "980416",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CO",
"license": "1667133",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "TX",
"license": "980416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LIC. TEXAS BON (ORIGINAL ISSUING AGENCY)",
"identifier": "980416",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "RN.1667133",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PROFESSIONAL NURSE",
"identifier": "NJDCATEMP-000803",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "garrettgoff@mailfence.com",
"affiliation": "N",
"endpointDescription": "Encrypted & Secured Endpoint Messaging & Exchange HIE",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2620 Grand Vista Cir Apt 110",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809045253",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.