James Patrick Goodmon, LMFT | |
727 W 2nd St, Bloomington, IN 47403-2209 | |
(812) 353-3450 | |
(812) 353-3451 |
Full Name | James Patrick Goodmon |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 727 W 2nd St, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942686365 | NPI | - | NPPES |
300031245 | Medicaid | IN | |
300044771 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 35002004A (Indiana) | Primary |
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
Mailing Address | Practice Location Address |
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James Patrick Goodmon, LMFT 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | James Patrick Goodmon, LMFT 727 W 2nd St, Bloomington, IN 47403-2209 Ph: (812) 353-3450 |
Patricia Lawson-buckley, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 445 S Landmark Ave, Bloomington, IN 47406 Phone: 812-353-3450 Fax: 812-353-3451 | |
Emily Marie Corturillo, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 803 N Monroe St, Bloomington, IN 47404 Phone: 812-332-1262 | |
Mr. Matthew Alan Lucas, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 120 W 7th St, Suite 104, Bloomington, IN 47404 Phone: 812-339-1551 Fax: 812-334-8398 | |
Deborah Pardue, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3802 E 3rd St, Suite 217, Bloomington, IN 47401 Phone: 812-337-1134 | |
Sierra Lynne Hofmann, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 550 S Adams St, Bloomington, IN 47403 Phone: 812-333-6324 Fax: 812-331-6700 | |
Ms. Katelyn J Minelli, MMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1136 W 17th St, Suite B, Bloomington, IN 47404 Phone: 812-929-2193 Fax: 888-789-8394 | |
Mr. Ian Woollen, M.A., LMFT, LMHC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 N College Ave, Suite 313, Bloomington, IN 47404 Phone: 812-335-3805 |