Organization Active NPI

Cindy Goff, PLLC

  • Mental Health Counselor
  • Idaho Falls, ID
National Provider Identifier
1871630129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-267 Issued in ID
Legal business name
CINDY GOFF, PLLC
Practice address
2235 E 25TH St Ste 160
Idaho Falls, ID 83404-7538
Phone
(208) 523-4820
Fax
(208) 522-9859
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cindy Goff, LPCP
Title
Owner
Phone
(208) 523-4820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC-267 ID Primary

Addresses

Primary practice location

2235 E 25TH St Ste 160
Idaho Falls, ID 83404-7538

Mailing address

PO Box 3815
Idaho Falls, ID 83403-3815
Phone (208) 525-2090

Other identifiers 2

IdentifierTypeStateIssuer
000010016253OtherIDBLUE SHIELD
Q7412OtherIDBLUE CROSS

National Provider Directory

National Provider Directory

Locations

2235 E 25th St
Ste 160
Idaho Falls, ID 83404
Phone (208) 522-9812

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871630129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3815",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033815",
            "telephone_number": "208-525-2090",
            "fax_number": "208-525-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E 25TH ST STE 160",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047538",
            "telephone_number": "208-523-4820",
            "fax_number": "208-522-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDY GOFF, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-523-4820",
        "authorized_official_credential": "LPCP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010016253",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Q7412",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.