Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669528949 Individual Practitioner Female Practitioner

Priscilla Anne Goodwin , PROF FOSTER HOME

Counselor • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Priscilla Goodwin, PROF FOSTER HOME is a registered healthcare professional specializing in Counselor in Mesa, AZ. Practice services are available at 1710 S 74TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1710 S 74th St

Mesa, AZ 852094136

Telephone 4809815555

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.4 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
118 Specialists

Practicing in Mesa, AZ (1205 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License AZ 5102

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Prof. Foster Home
5102 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1275706046

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 09, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 09, 2009

Registered at 1710 S 74TH ST, MESA, AZ 852094136 (Tel: 4809815555)

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Updated Business Mailing Address March 09, 2009

Registered at 1710 S 74TH ST, MESA, AZ 852094136 (Tel: 4809815555)

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Provider Name / Credentials Updated March 09, 2009

Recorded as PRISCILLA GOODWIN, PROF. FOSTER HOME

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2009

Counselor (License #5102 in AZ)

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Initial NPI Registration & Enumeration January 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669528949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2007
Last Update: March 09, 2009
Sole Proprietor: No

Mailing Address

1710 S 74th St

Mesa, AZ 852094136

Phone: 4809815555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.