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.
Healthcare Provider's Profile
| Full Name | Mr Jason Hayes Goodwin |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 1417 N. 4th St., Coeur D'alene, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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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.
| Identifier | Type | State | Issuer |
|---|
| 1174621627 | NPI | - | NPPES |
| 807281800 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - 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 Address | Practice 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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