Ms Jessamyn K Goodwin, LAC is a
Counselor - Mental Health based in West Fork, Arkansas. Ms Jessamyn K Goodwin is licensed to practice in Arkansas (license number A2010142) and her current practice location is
55 Dogwood Ln, West Fork, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(479) 263-5662.
NPI number for Ms Jessamyn K Goodwin is 1760100069 and her current mailing address is 55 Dogwood Ln, West Fork, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760100069.
Healthcare Provider's Profile
Full Name | Ms Jessamyn K Goodwin |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 55 Dogwood Ln, West Fork, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760100069
- Provider Enumeration Date: 08/22/2022
- Last Update Date: 08/22/2022
Medical Identifiers
Medical identifiers for Ms Jessamyn K Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760100069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | A2010142 (Arkansas) | 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. Ms Jessamyn K 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 |
Ms Jessamyn K Goodwin, LAC 55 Dogwood Ln, West Fork, AR 72774-3025 Ph: (479) 263-5662 | Ms Jessamyn K Goodwin, LAC 55 Dogwood Ln, West Fork, AR 72774-3025 Ph: (479) 263-5662 |
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