Individual provider Active NPI

Sharla Renea Goddard, MA, LCDCI

  • Addiction (Substance Use Disorder) Counselor
  • Amarillo, TX
National Provider Identifier
1609652577
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
61145 Issued in TX
Practice address
803 S Rusk St
Amarillo, TX 79106-6648
Phone
(806) 374-6688
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 61145 TX Primary

Addresses

Primary practice location

803 S Rusk St
Amarillo, TX 79106-6648

Mailing address

803 S Rusk St
Amarillo, TX 79106-6648
Phone (806) 374-6688

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgoddard@cenikor.org 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
Master of Arts

State licenses

LicenseStateTypeSpecialty
61145TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cenikor Foundation CurrentSince Sep 10, 2023 Accepting new patients
Amarillo Council on Alcoholism & Drug Abuse PastSince Sep 10, 2023 Accepting new patients

Locations

803 S Rusk St
Amarillo, TX 79106
Phone (806) 374-6688

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1609652577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 S RUSK ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791066648",
            "telephone_number": "806-374-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S RUSK ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791066648",
            "telephone_number": "806-374-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "SHARLA",
        "middle_name": "RENEA",
        "name_prefix": "Mrs.",
        "credential": "MA, LCDCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "61145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgoddard@cenikor.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "803 S Rusk St",
            "city": "Amarillo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "791066648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.