Individual provider Active NPI

Melanie M Goodwin, CAS, CADC II

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1609666858
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACC.0021371 Issued in CO
Practice address
10330 SE 32ND Ave Ste 325
Portland, OR 97222-6656
Phone
(720) 758-0391
NPI assigned
May 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACC.0021371 CO Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 25-R32 OR

Addresses

Primary practice location

10330 SE 32ND Ave Ste 325
Portland, OR 97222-6656

Mailing address

110 N Tomahawk Island Dr Apt 139
Portland, OR 97217-7813
Phone (720) 758-0391

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

LicenseStateTypeSpecialty
ACC.0021371COMDAddiction (Substance Use Disorder) Counselor
25-R32ORMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1746835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1609666858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N TOMAHAWK ISLAND DR APT 139",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177813",
            "telephone_number": "720-758-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 SE 32ND AVE STE 325",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972226656",
            "telephone_number": "720-758-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MELANIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CAS, CADC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-10",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0021371",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "25-R32",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.