RANDALL R GODWIN M.ED., LIAC
NPI 1205160108
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Active since September 24, 2009PECOS EnrolledAccepts Medicare Assignment
20 E THOMAS RD STE 2200, PHOENIX, AZ 85012(844) 843-7279 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 14, 2020, Sep 10, 2020, Mar 16, 2017 and 1 more (4 updates tracked since 2016).

About Randall R Godwin M.ed., Liac NPPES

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

RANDALL R GODWIN M.ED., LIAC (NPI 1205160108) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in Arizona (LIAC-11869) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205160108
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRANDALL R GODWINCredential: M.ED., LIAC
Location Address20 E THOMAS RD STE 2200Phoenix, AZ 85012-3133
Mailing Address702 E Chandler BlvdChandler, AZ 85225-9456 · (623) 499-8917 · Fax (602) 926-8363
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 24, 2009
Last NPPES UpdateJune 11, 20264 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
NPI 1205160108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in AZ · LIAC-11869
20 E THOMAS RD STE 2200, Phoenix, AZ 85012

Secondary Practice Location 1

Location 12375 E Camelback Rd Ste 600Phoenix, AZ 85016-3493 · Phone (888) 711-5993 · Fax (888) 711-6216

Other Identifiers 1

Medicaid204317AZ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Randall R Godwin M.ed., Liac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022599497
PECOS Enrollment IDI20260224002063
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
20 E THOMAS RD STE 2200
PHOENIX, AZ 85012
In Home Supportive Care
20 E THOMAS RD STE 2200
PHOENIX, AZ 85012
Transportation Broker
20 E THOMAS RD STE 2200
PHOENIX, AZ 85012
Counselor (Professional)
20 E THOMAS RD STE 2200
PHOENIX, AZ 85012
Behavior Technician
20 E THOMAS RD STE 2200
PHOENIX, AZ 85012
Counselor (Professional)
20 E THOMAS RD STE 2200
PHOENIX, AZ 85012
Clinic/Center (Mental Health (Including Community Mental Health Center))
20 E THOMAS RD STE 2200
PHOENIX, AZ 85012
Counselor (Mental Health)
20 E THOMAS RD STE 2200
PHOENIX, AZ 85012

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 Randall Godwin's NPI number?

The NPI number for Randall Godwin is 1205160108. It was assigned to this individual provider in the NPPES registry on September 24, 2009.

Where is Randall Godwin located?

Randall Godwin practices at 20 E Thomas Rd Ste 2200, Phoenix, AZ 85012. The listed phone number is (844) 843-7279.

What is Randall Godwin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Randall Godwin enrolled in Medicare?

Yes. Randall Godwin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Randall Godwin accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Randall Godwin 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 Randall Godwin was last updated on June 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.