Active NPI
Deborah Yvonne Goodwin-Bond, MS, NCC, LPC
- Professional Counselor
- Irving, TX
National Provider Identifier
1790815488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19401
- Practice address
- 320 Decker Dr
Irving, TX 75062-8162 - Phone
- (972) 739-6850
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 19401 | TX | Primary |
Addresses
Primary practice location
320 Decker Dr
Irving, TX 75062-8162
Mailing address
125 West Scotland Drive
Irving, TX 75062-6726
Phone (817) 271-8407
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19401 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790815488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WEST SCOTLAND DRIVE",
"city": "IRVING",
"state": "TX",
"postal_code": "750626726",
"telephone_number": "817-271-8407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 DECKER DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750628162",
"telephone_number": "972-739-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN-BOND",
"first_name": "DEBORAH",
"middle_name": "YVONNE",
"credential": "MS, NCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.