Active NPI
Teresa Marie Goodman, MA, LPC
- Professional Counselor
- Grand Junction, CO
National Provider Identifier
1902886641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1360
- Practice address
- 518 28 Rd
Ste B209
Grand Junction, CO 81501-6556 - Phone
- (970) 245-3212
- Fax
- (970) 245-3216
- NPI assigned
- Jan 19, 2006
- 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 | 1360 | CO | Primary |
Addresses
Primary practice location
518 28 Rd
Ste B209
Grand Junction, CO 81501-6556
Mailing address
518 28 Rd
Ste B209
Grand Junction, CO 81501-6556
Phone (970) 245-3212
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 605638 | Other | CO | BCBS |
| 082236 | Other | CO | VALUE OPTIONS - CHN |
| 91122228 | Medicaid | CO |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1360 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Studies | Past | Accepting new patients | |
| Monument Mental Health Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Grand Junction, CO
- NPI 1073523171
-
- Marriage & Family Therapist
- Grand Junction, CO
- NPI 1538149497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902886641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 28 RD",
"address_2": "STE B209",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815016556",
"telephone_number": "970-245-3212",
"fax_number": "970-245-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 28 RD",
"address_2": "STE B209",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815016556",
"telephone_number": "970-245-3212",
"fax_number": "970-245-3216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "TERESA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "1360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "605638",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS - CHN",
"identifier": "082236",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91122228",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.