Individual provider Active NPI

Andrea Terese Goddard, LMHC, NCC

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1669606976
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60040714 Issued in WA
Practice address
707 W 7TH Ave Ste 260
Attn: Andrea
Spokane, WA 99204-2821
Phone
(509) 220-9841
NPI assigned
May 14, 2009
Last updated
Feb 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH 60040714 WA Primary

Addresses

Primary practice location

707 W 7TH Ave Ste 260
Attn: Andrea
Spokane, WA 99204-2821

Mailing address

707 W 7TH Ave Ste 260
Attn: Andrea
Spokane, WA 99204-2821
Phone (509) 220-9841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102000799 WA Practitioner - Mental Health Counselor 3577090570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

221 N Wall St
Suite 202
Spokane, WA 99201-0822
Phone (206) 910-9476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH 60040714WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Nov 23, 2024 Accepting new patients
Polly Thosath Carlson Ms, PS Mental Health Past Accepting new patients
Western Psychological and Counseling Services LLC Mental Health Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

221 N Wall St
Ste 202
Spokane, WA 99201
Phone (206) 910-9476

19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190

Organizations & group practices 3

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": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1669606976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W 7TH AVE STE 260",
            "address_2": "ATTN: ANDREA",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042821",
            "telephone_number": "509-220-9841",
            "fax_number": "509-624-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W 7TH AVE STE 260",
            "address_2": "ATTN: ANDREA",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042821",
            "telephone_number": "509-220-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "ANDREA",
        "middle_name": "TERESE",
        "name_prefix": "Prof.",
        "credential": "LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60040714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.