Jean Michelle Godun

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18133 Issued in FL

Practice address

300 N Ronald Reagan Blvd Ste 302
Longwood, FL 32750-5902

Phone

(407) 476-1432

NPI assigned

Jun 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Saafe Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Deland, FL
  • NPI 1154757557
  NPD (past)
• Saafe Health Services LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Daytona Beach, FL
  • NPI 1497048284
  NPD (past)
• The Center of Life Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Longwood, FL
  • NPI 1992275598
  NPD (past)

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1972097012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 DEPAUW AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045406",
            "telephone_number": "407-476-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N RONALD REAGAN BLVD STE 302",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505902",
            "telephone_number": "407-476-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODUN",
        "first_name": "JEAN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "IMH17147",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Mariah Gilman
• Leonard N Glass, D.D.S.
• Danielle Glefke, MT-BC
• Glowspring Health LLC
• Ashley Gobeil, PH.D.
• Madhumathi Gokapai, MD
• Mariana Gomez, LSW
• Amanda Gonzales
• Christopher Gonzalez, OTD
• Gabriella Claire Gonzalez

• Mental Health Counselor in Longwood, FL
• Providers in Longwood, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.