Mr Jason Hayes Goodwin, LCPC, CDAC - Counselor in Coeur D'alene, ID

Mr Jason Hayes Goodwin, LCPC, CDAC is a Counselor - Professional based in Coeur D'alene, Idaho. Mr Jason Hayes Goodwin is licensed to practice in Idaho (license number LPC-3639) and his current practice location is 1417 N. 4th St., Coeur D'alene, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 292-2188.

NPI number for Mr Jason Hayes Goodwin is 1174621627 and his current mailing address is 1417 N. 4th St., Coeur D'alene, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174621627.

Contact Information

Mr Jason Hayes Goodwin, LCPC, CDAC
1417 N. 4th St.,
Coeur D'alene, ID 83814
(208) 292-2188
(208) 292-2189

Map and Direction


Healthcare Provider's Profile

Full NameMr Jason Hayes Goodwin
GenderMale
SpecialityCounselor - Professional
Location1417 N. 4th St., Coeur D'alene, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174621627
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 08/04/2011

Medical Identifiers

Medical identifiers for Mr Jason Hayes Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174621627NPI-NPPES
807281800MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional LPC-3639 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jason Hayes Goodwin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jason Hayes Goodwin, LCPC, CDAC
1417 N. 4th St.,
Coeur D'alene, ID 83814

Ph: (208) 292-2188
Mr Jason Hayes Goodwin, LCPC, CDAC
1417 N. 4th St.,
Coeur D'alene, ID 83814

Ph: (208) 292-2188

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Counselor in Coeur D'alene, ID