Tyler C Goddard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

373214-3501 Issued in UT

Practice address

203 E Cobblecreek Dr
Suite 201
Cedar City, UT 84721-8901

Phone

(435) 586-2182

Fax

(866) 833-5153

NPI assigned

Nov 16, 2006

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paiute Indian Tribe of UtahGroup PAC ID 3072414952, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyler.goddard.1@14860.direct.athenahealth.com

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.

• Paiute Indian Tribe of Utah

  dba Four Points Health

  • Clinic/Center
  • Cedar City, UT
  • NPI 1700062296

  TX

  Medicare reassignment Care Compare group NPD
• Goddard Consulting

  • Clinical Social Worker
  • Cedar City, UT
  • NPI 1083860332
  NPD Authorized official
• Goddard Consulting

  dba Brighter Future Counseling

  • Mental Health Counselor
  • Cedar City, UT
  • NPI 1336372648
  Authorized official Same address or phone
• Paiute Indian Tribe of Utah

  • Clinic/Center
  • Richfield, UT
  • NPI 1336316975
  NPD
• Paiute Indian Tribe of Utah

  • Federally Qualified Health Center (FQHC)
  • St George, UT
  • NPI 1801063441
  NPD
• Paiute Indian Tribe of Utah

  • Clinic/Center
  • Kanosh, UT
  • NPI 1992972525
  NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1821161738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2413",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847212413",
            "telephone_number": "435-586-2182",
            "fax_number": "866-833-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E COBBLECREEK DR",
            "address_2": "SUITE 201",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847218901",
            "telephone_number": "435-586-2182",
            "fax_number": "866-833-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "TYLER",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "373214-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821161738",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Scott Gillespie
• Tanner Glassey
• Brian Scott Glazier, DDS
• Goddard Consulting
• Goddard Consulting (Brighter Future Counseling)
• Carrie Gooden
• Susan Leanna Goodman, L.C.S.W.
• Paige Goodwin, DPT
• Tyler Grant Gorham, RBT
• Burgundy Grafelman

• Clinical Social Worker in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.