Sandra Goodwin, MA. ,PSYCHOTHERAPIST

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1653-00 Issued in CO

Practice address

811 Main St
Alamosa, CO 81101-2541

Phone

(719) 589-6438

Fax

(719) 589-2668

NPI assigned

Sep 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Ascension Counseling & Transformation LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alamosa, CO
  • NPI 1144983305
  NPD Authorized official

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1598014656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 MAIN ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012541",
            "telephone_number": "719-589-6438",
            "fax_number": "719-589-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 MAIN ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012541",
            "telephone_number": "719-589-6438",
            "fax_number": "719-589-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "SANDRA",
        "credential": "MA. ,PSYCHOTHERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "NLC.0105926",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "1653-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Glenn, LPC
• Michaelene Gomez
• Albert Gonzales, LPC / LAC
• Barbara I Gonzales, LCSW
• Shannon Gonzales, CNM
• Ruben Graciano
• Susan Graham, LCSW
• James J Grant, PHD
• Suzanne Greenwood
• Tammy R. Gregg, D.O.

• All providers in Alamosa, CO
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.