Individual provider Active NPI

Bryanna G Goodman, LMFT

  • Marriage & Family Therapist
  • Vancouver, WA
National Provider Identifier
1609063031
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60139869 Issued in WA
Practice address
16904 SE 1St St Ste 101H
Vancouver, WA 98684-8511
Phone
(360) 907-7069
NPI assigned
Oct 1, 2007
Last updated
Feb 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF60139869 WA Primary

Addresses

Primary practice location

16904 SE 1St St Ste 101H
Vancouver, WA 98684-8511

Mailing address

16904 SE 1St St Ste 101H
Vancouver, WA 98684-8511
Phone (360) 907-7069

Other practice location 1

655 W Columbia Way Ste 400
Vancouver, WA 98660-3613
Phone (360) 433-9664

Other practice location 2

15609 SE Mill Plain Blvd
Vancouver, WA 98684-8952
Phone (360) 433-9664

Other practice location 3

16114 E Indiana Ave Ste 210
Spokane Valley, WA 99216-1874
Phone (360) 433-9664

Other practice location 4

13505 NE 10th Ave
Vancouver, WA 98685-2711
Phone (360) 433-9664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Refresh Therapy, Inc Marriage & Family Therapist CurrentSince Feb 1, 2025 Accepting new patients
Refresh Therapy, Inc PastSince Feb 1, 2025 Accepting new patients

Locations

16114 E Indiana Ave
Ste 210
Spokane Valley, WA 99216
Phone (360) 433-9664

13505 NE 10th Ave
Vancouver, WA 98685
Phone (360) 433-9664

15609 SE Mill Plain Blvd
Vancouver, WA 98684
Phone (360) 215-3242

655 W Columbia Way
Ste 400
Vancouver, WA 98660
Phone (360) 433-9664

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740268800000",
    "number": "1609063031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16904 SE 1ST ST STE 101H",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848511",
            "telephone_number": "360-907-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16904 SE 1ST ST STE 101H",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848511",
            "telephone_number": "360-907-7069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 W Columbia Way Ste 400",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603613",
            "country_code": "US",
            "telephone_number": "360-433-9664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15609 SE Mill Plain Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986848952",
            "country_code": "US",
            "telephone_number": "360-433-9664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16114 E Indiana Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161874",
            "country_code": "US",
            "telephone_number": "360-433-9664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13505 NE 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986852711",
            "country_code": "US",
            "telephone_number": "360-433-9664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "BRYANNA",
        "middle_name": "G",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60139869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.