Ms Amy A Goodwin, LPC, CACIII | |
810 Lincoln Ave, Steamboat Springs, CO 80487-5005 | |
(970) 879-7637 | |
Not Available |
Full Name | Ms Amy A Goodwin |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 810 Lincoln Ave, Steamboat Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073708590 | NPI | - | NPPES |
5378 | Other | LICENSED PROFESSIONAL COUNSELOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 6584 (Colorado) | Secondary |
101YM0800X | Counselor - Mental Health | 5378 (Colorado) | Primary |
Entity Name | Poudre Valley Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Ms Amy A Goodwin, LPC, CACIII Po Box 882917, 810 Lincoln Ave, Steamboat Springs, CO 80488-2917 Ph: (970) 879-7637 | Ms Amy A Goodwin, LPC, CACIII 810 Lincoln Ave, Steamboat Springs, CO 80487-5005 Ph: (970) 879-7637 |
Eddie Konold, M.A., L.P.C., CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 737 Lincoln Blvd, Steamboat Springs, CO 80477 Phone: 970-846-4620 | |
Lauren Carpenter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 South Lincoln Ave, Steamboat Springs, CO 80487 Phone: 970-879-2141 | |
Anne Louise Koshio, M.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 South Lincoln Ave, Steamboat Springs, CO 80487 Phone: 970-879-2141 Fax: 970-879-7912 | |
Mrs. Tonia Joell Stoehr, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 S Lincoln Ave, Steamboat Springs, CO 80487 Phone: 970-879-2141 Fax: 970-879-7912 | |
Vicky Lynn Kessler, CACIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 South Lincoln Ave, Steamboat Springs, CO 80487 Phone: 970-879-2141 Fax: 970-879-7912 | |
Mr. Rodney Craig Long, LPC, CACIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 928 Lincoln Ave, Suite 109, Steamboat Springs, CO 80487 Phone: 970-879-1018 Fax: 970-879-1019 |