Goodrow Family & Youth Institute

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

78151 Issued in NM

Legal business name

GOODROW FAMILY & YOUTH INSTITUTE

Practice address

5100 2ND St NW
Albuquerque, NM 87107-4009

Phone

(505) 468-7106

Fax

(505) 462-9985

NPI assigned

Jul 2, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Kriss Goodrow II, M.S., LPCCNPI 1932200417

Title

President/Owner

Phone

(505) 239-7459

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Kriss Goodrow II, MS, LPCC, NCC, CCMHC

  • Community/Behavioral Health Agency
  • Corrales, NM
  • NPI 1932200417
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1669736856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 AVENIDA VISTA SOL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145904",
            "telephone_number": "505-239-7459",
            "fax_number": "505-899-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 2ND ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074009",
            "telephone_number": "505-468-7106",
            "fax_number": "505-462-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODROW FAMILY & YOUTH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "GOODROW",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "KRISS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "505-239-7459",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.S., LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "78151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66559251",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Courtney Goodreau, MA, LMHC, NCC
• Christopher Michael Goodrich, CISSP-ISSEP
• Jeanie E Goodrich, RPH
• Kristopher Michael Goodrich, PHD
• Cameron M Goodridge-Thomas, LMFT
• Goodside Health Medical, PLLC
• Roberta Ann Goodson
• Jessica Goodstein, AUDIOLOGIST
• Matthew Ian Goodstein, D.O
• Goodwill Industries of N.M.

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.