NIKKI ANN GOODENOUGH - LACINA


Address: 2060 Hawthorne Ave, Grand Junction, CO 81506-4123
Phone: 6618603762

NIKKI ANN GOODENOUGH - LACINA (NPI# 1437575453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437575453
Entity Type Individual
Full Name NIKKI ANN GOODENOUGH - LACINA
Other Name NIKKI ANN GOODENOUGH - LACINA
Credential LPC
Practice Address 2060 Hawthorne Ave
Grand Junction
CO 81506-4123
Practice Telephone 6618603762
Mailing Telephone 6618603762
Enumeration Date 2014-03-14
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0012779 CO Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
001117 CT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 876114 05
CO BEACON HEALTH OPTIONS, INC. 876114 01
CO STATE OF COLORADO LICENSE NUMBER LPC LPC0012779 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2006 K Rd, Fruita, CO 815219045 6618603762
Grand Valley Equine Assisted Learning Cntr. 979 25 Rd., Grand Junction, CO 81505 6618603762

Office Location

Street Address 2060 HAWTHORNE AVE
City GRAND JUNCTION
State CO
Zip Code 81506-4123

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1114445657 Katrina Nicol Metcalf Nurse Practitioner 2643 Patterson Road Suite 605, Grand Junction, CO 81506 2017-09-05
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1477928976 Welbrook Senior Living Grand Junction LLC Skilled Nursing Facility 2596 Patterson Rd., Grand Junction, CO 81506 2015-12-09
1073902284 Brett Adams Audiologist-Hearing Aid Fitter 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 2015-01-12
1942625116 Pamela W Kreps Hearing Instrument Specialist 759 Horizon Dr Ste E, Grand Junction, CO 81506 2014-02-25
1962779249 Premere Rehab LLC Occupational Therapist 625 271/2 Road, Grand Junction, CO 81506 2011-11-30
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1053888149 Laura Mogden Counseling Services LLC Counselor 546 Main St Ste 403, Grand Junction, CO 81501-2683 2018-10-27
1184134652 Michelle Trosclair Counselor 1000 N 9th St Ste 37e, Grand Junction, CO 81501-3153 2017-10-10
1003344094 Mac Aarron Fish Counselor 622 Rood Ave Ste C, Grand Junction, CO 81501 2017-06-02
1720532146 Jymi Layne Bond Counselor 3153 Sharptail St, Grand Junction, CO 81504-6230 2016-08-15
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Competitor

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City GRAND JUNCTION
Zip Code 81506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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