Active NPI
Reilly Goodale, LMHC
- Mental Health Counselor
- Windsor Heights, IA
National Provider Identifier
1700599404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 116553
- Practice address
- 6900 University Ave Ste 135
Windsor Heights, IA 50324-1505 - Phone
- (515) 218-9309
- NPI assigned
- Dec 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 116553 | IA | Primary |
Addresses
Primary practice location
6900 University Ave Ste 135
Windsor Heights, IA 50324-1505
Mailing address
908 E 18TH St N
Newton, IA 50208-2445
Phone (515) 865-0073
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
| License | State | Type | Specialty |
|---|---|---|---|
| 116553 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759017600000",
"number": "1700599404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 E 18TH ST N",
"city": "NEWTON",
"state": "IA",
"postal_code": "502082445",
"telephone_number": "515-865-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 UNIVERSITY AVE STE 135",
"city": "WINDSOR HEIGHTS",
"state": "IA",
"postal_code": "503241505",
"telephone_number": "515-218-9309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODALE",
"first_name": "REILLY",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-28",
"last_updated": "2025-09-28",
"certification_date": "2025-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "116553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor Heights, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.