Goodwill Benefits Group, LLC

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

License

148026 Issued in UT

Legal business name

GOODWILL BENEFITS GROUP, LLC

Practice address

10180 S Wasatch Blvd
Sandy, UT 84092-4575

Phone

(801) 845-6721

Fax

(801) 878-4686

NPI assigned

Dec 12, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Nelson Goodwill

Title

Owner/Broker

Phone

(801) 845-6721

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1699219543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10180 S WASATCH BLVD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924575",
            "telephone_number": "801-845-6721",
            "fax_number": "801-878-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 S WASATCH BLVD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924575",
            "telephone_number": "801-845-6721",
            "fax_number": "801-878-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL BENEFITS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "GOODWILL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "OWNER/BROKER",
        "authorized_official_telephone_number": "801-845-6721",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "UT",
            "license": "148026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Gonzalez, MSW, LCSW
• Good Growth Therapy
• Good Life Wellness and Education, LLC
• Lynda Goodenough, P.A.
• Sally Goodger
• Alan D Gorang, MD
• Gordon R. Kimball M.D.,P.C.
• Anthony Scott Gordon, MD
• Debra S Gordon, R.N.
• Jennifer Gould

• Supports Brokerage Agency in Sandy, UT
• Providers in Sandy, UT by specialty
• Supports Brokerage Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.