Individual provider Active NPI

Paula Mae Emerton-Godwin, LCPC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1710700703
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8795 Issued in ID
Practice address
10210 E Speedway Blvd Apt 72
Tucson, AZ 85748-4005
Phone
(214) 405-7087
NPI assigned
Nov 6, 2024
Last updated
May 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8795 ID Primary
Professional Counselor 101YP2500X 23870 AZ

Addresses

Primary practice location

10210 E Speedway Blvd Apt 72
Tucson, AZ 85748-4005

Mailing address

10210 E Speedway Blvd Apt 72
Tucson, AZ 85748-4005
Phone (214) 405-7087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250606003533 AZ Practitioner - Mental Health Counselor 9032644836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
B-Umg Integrated Health Clinic LLCGroup PAC ID 3577831494, 18 clinicians

Practice addresses (Care Compare)

535 N Wilmot Rd
2ND FL
Tucson, AZ 85711-2629
Phone (520) 694-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23870AZMDProfessional Counselor
8795IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
B--Umg Integrated Health Clinic, LLC CurrentSince Jun 1, 2025 Accepting new patients
Boundary Regional Community Health Center, Inc. Current Accepting new patients
Banner-University Medical Group Past Accepting new patients

Locations

535 N Wilmot Rd
Fl 2
Tucson, AZ 85711
Phone (520) 694-1234

6615 Comanche St
Bonners Ferry, ID 83805
Phone (208) 267-1718

6509 Highway 2
Ste 101
Priest River, ID 83856
Phone (208) 448-2321

810 N Sixth Ave
Sandpoint, ID 83864
Phone (208) 263-7101

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": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1710700703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 E SPEEDWAY BLVD APT 72",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857484005",
            "telephone_number": "214-405-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 E SPEEDWAY BLVD APT 72",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857484005",
            "telephone_number": "214-405-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERTON-GODWIN",
        "first_name": "PAULA",
        "middle_name": "MAE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "8795",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "23870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.