Individual provider Active NPI

Byrom Odell Goodwin Sr., ED.S., L.P.C.

  • Mental Health Counselor
  • Huntsville, AL
National Provider Identifier
1619011038
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
205 Issued in AL
Practice address
333 Franklin St SE Ste 100
Huntsville, AL 35801-4264
Phone
(256) 533-1799
Fax
(256) 533-2506
NPI assigned
Feb 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 205 AL
Mental Health Counselor 101YM0800X 205 AL Primary
Professional Counselor 101YP2500X 205 AL

Addresses

Primary practice location

333 Franklin St SE Ste 100
Huntsville, AL 35801-4264

Mailing address

111 Noble Dr SE
Huntsville, AL 35802-1609
Phone (256) 533-1799

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
205ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Adams Bloom, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619011038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NOBLE DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021609",
            "telephone_number": "256-533-1799",
            "fax_number": "256-533-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 FRANKLIN ST SE STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014264",
            "telephone_number": "256-533-1799",
            "fax_number": "256-533-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "BYROM",
        "middle_name": "ODELL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "ED.S.,  L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "205",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "205",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.