Individual provider Active NPI

Roberta Gale Godsey, MS LPC

  • Professional Counselor
  • Dumas, TX
National Provider Identifier
1881090652
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69742 Issued in TX
Practice address
611 E 1St St
Dumas, TX 79029-3221
Phone
(806) 930-0548
Fax
(806) 717-2221
NPI assigned
Nov 6, 2014
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 69742 TX Primary

Addresses

Primary practice location

611 E 1St St
Dumas, TX 79029-3221

Mailing address

611 E 1St St
Dumas, TX 79029-3221
Phone (806) 930-0548

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250807000729 TX Practitioner - Mental Health Counselor 6103283510 Practice locations: Dumas, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1881090652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790293221",
            "telephone_number": "806-930-0548",
            "fax_number": "806-717-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790293221",
            "telephone_number": "806-930-0548",
            "fax_number": "806-717-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODSEY",
        "first_name": "ROBERTA",
        "middle_name": "GALE",
        "credential": "MS LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumas, TX

Sources for this page

Verify at the official NPI Registry.