MYRA GODDARD (NPI# 1649309741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649309741 |
| Entity Type | Individual |
| Full Name | MYRA GODDARD |
| Credential | LMSW, LPC |
| Practice Address |
4650 W Us Highway 223 Adrian MI 49221-8494 |
| Mailing Address |
1408 Chisholm Rd Onsted MI 49265-9770 |
| Practice Telephone | 5172662588 |
| Practice Fax Number | 5172660224 |
| Mailing Telephone | 5174674921 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
6401002460 | MI | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
6802062870 | MI | Behavioral Health & Social Service Providers |
| Street Address |
4650 W US HIGHWAY 223 |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-8494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093844136 | Maryann Hickey Davis | Registered Nurse | 4650 W Us Highway 223, Adrian, MI 49221-8494 | 2007-03-05 |
| 1407985427 | Kathleen Kane | Registered Nurse | 4650 W Us Highway 223, Adrian, MI 49221-8494 | 2007-03-05 |
| 1326177460 | Sandra Kay Barancin | Registered Nurse | 4650 W Us Highway 223, Adrian, MI 49221-8494 | 2007-03-05 |
| 1053440164 | Sue Ann Kane | Counselor | 4650 W Us Highway 223, Adrian, MI 49221-8494 | 2007-03-05 |
| 1508995630 | Sandra Taylor Paulsen | Psychologist | 4650 W Us Highway 223, Adrian, MI 49221-8494 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585831 | Bena Leanne Glasscock | Counselor | 2501 Cr C, Adrian, TX 79001 | 2020-10-12 |
| 1164063574 | Sparrow Counseling, LLC | Counselor | 204 E Church St Ste 100, Adrian, MI 49221-2953 | 2019-10-07 |
| 1548626120 | Jennifer Franklin | Counselor | 117 W Maumee St, Suite300a, Adrian, MI 49221-2065 | 2016-01-12 |
| 1821475443 | Tracy Laing | Counselor | 136 E Maumee St, Ste 8, Adrian, MI 49221-2765 | 2015-05-04 |
| 1902145014 | Tamra Beth Barbieri | Counselor | 1800 W Us Highway 223, Suite 200, Adrian, MI 49221-8439 | 2013-02-08 |
| 1912173618 | Sylvia Anna Sotelo | Counselor | 2046 Allen St, Adrian, MI 49221-4406 | 2008-05-02 |
| 1548391816 | Kristy D Henry | Counselor | 123 E Maumee St, Adrian, MI 49221-2703 | 2007-03-08 |
| 1285765594 | Julie Anne Artinian Callaway | Counselor | 117 E Maumee St Ste 300a, Adrian, MI 49221-2703 | 2007-03-08 |
| 1295383917 | Kellie Berger | Counselor | 1325 Michigan Ave, Adrian, MI 49221-2526 | 2019-08-27 |
| 1730744426 | Solasta Counseling Services, LLC | Counselor | 127 S Main St, Adrian, MI 49221-2623 | 2019-05-08 |
| Find all providers in ADRIAN | ||||
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| 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.