Sammie Jochum Goodwin, LPC, NCC, ATR-BC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC 3124 Issued in NC

Practice address

1401 W Clemmonsville Rd
Winston Salem, NC 27127-5915

Phone

(336) 771-4580

Fax

(336) 771-4706

NPI assigned

Mar 16, 2008

Last updated

Mar 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Sammie Jochum Reece Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205625600000",
    "number": "1902077142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 RIVERWOOD DR",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270238300",
            "telephone_number": "336-945-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W CLEMMONSVILLE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275915",
            "telephone_number": "336-771-4580",
            "fax_number": "336-771-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "SAMMIE",
        "middle_name": "JOCHUM",
        "name_prefix": "Mrs.",
        "credential": "LPC,  NCC,  ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-16",
        "last_updated": "2008-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "LPC 3124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMMIE",
            "last_name": "REECE",
            "middle_name": "JOCHUM",
            "prefix": "MRS.",
            "credential": "ATR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Charles Goodrich III, MD
• Anita Louise Goodwin, NP
• Annette Michelle Goodwin, FNP
• Eli Addison Goodwin
• Latanya Goodwin
• Goodworks Health Management, LLC
• Nakeyta Goolsby, PMHNP
• Suma Ramesh Gopal, M.D.
• Vineet Gopinathan, PHARMD
• Jordan Kugler Goranson

• Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2008; 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.