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MR. JASON HAYES GOODWIN LCPC, CDAC
NPI 1174621627
Counselor - Professional in Coeur D'alene, ID

Active since September 20, 2006Opted out of Medicare · through Apr 1, 2028
1417 N. 4TH ST., COEUR D'ALENE, ID 83814(208) 292-2188(208) 292-2189 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jason Hayes Goodwin Lcpc, Cdac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JASON HAYES GOODWIN LCPC, CDAC (NPI 1174621627) is an individual professional provider in Coeur D'alene, Idaho, licensed in Idaho (LPC-3639) and active in the NPI registry since September 2006. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1174621627
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JASON HAYES GOODWINCredential: LCPC, CDAC
Location Address1417 N. 4TH ST.Coeur D'alene, ID 83814
Mailing Address1417 N. 4th St.Coeur D'alene, ID 83814 · (208) 292-2188 · Fax (208) 292-2189
Phone(208) 292-2188
Fax(208) 292-2189
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 4, 2011
✔ NPI 1174621627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · LPC-3639
1417 N. 4TH ST., Coeur D'alene, ID 83814
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Other Identifiers 1

Medicaid807281800ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jason Hayes Goodwin Lcpc, Cdac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Goodwin's NPI number?

The NPI number for Jason Goodwin is 1174621627. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Jason Goodwin located?

Jason Goodwin practices at 1417 N. 4th St., Coeur D'alene, ID 83814. The listed phone number is (208) 292-2188.

What is Jason Goodwin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jason Goodwin enrolled in Medicare?

No. Jason Goodwin has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jason Goodwin accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Jason Goodwin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Goodwin was last updated on August 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.