Organization Active NPI

Margo Godreau, M.a., LMHC, P.a.

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1942364229
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH0003158 Issued in FL
Legal business name
MARGO GODREAU, M.A., LMHC, P.A.
Practice address
5662 Country Walk LN
Sarasota, FL 34233-3264
Phone
(941) 302-2690
Fax
(941) 342-6712
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Mary Margaret Godreau, M.A., LMHC
Title
President
Phone
(941) 302-2690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH0003158 FL Primary

Addresses

Primary practice location

5662 Country Walk LN
Sarasota, FL 34233-3264

Mailing address

5662 Country Walk LN
Sarasota, FL 34233-3264
Phone (941) 302-2690

Other identifiers 1

IdentifierTypeStateIssuer
Z9013OtherFLBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1942364229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5662 COUNTRY WALK LN",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333264",
            "telephone_number": "941-302-2690",
            "fax_number": "941-342-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5662 COUNTRY WALK LN",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333264",
            "telephone_number": "941-302-2690",
            "fax_number": "941-342-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGO GODREAU, M.A., LMHC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "GODREAU",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-302-2690",
        "authorized_official_credential": "M.A., LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0003158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z9013",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.