HALLIE GOODSON
NPI 1275149197
Counselor - Mental Health in Tupelo, MS

Q: What is Hallie Goodson's NPI number?

The NPI number for Hallie Goodson is 1275149197. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Q: What is Hallie Goodson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Hallie Goodson enrolled in Medicare?

No. Hallie Goodson has opted out of Medicare through February 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Hallie Goodson was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 16, 2020Opted out of Medicare · through Feb 24, 2028

2434 S EASON BLVD, TUPELO, MS 38804(662) 640-4595(662) 680-6416 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hallie Goodson NPPES

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

HALLIE GOODSON (NPI 1275149197) is an individual mental health provider in Tupelo, Mississippi and active in the NPI registry since September 2020. She has opted out of Medicare through February 24, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275149197

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameHALLIE GOODSON

Location Address2434 S EASON BLVDTupelo, MS 38804-6942

Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 640-4595 · Fax (662) 680-6416

Phone(662) 640-4595

Fax(662) 680-6416

Sole ProprietorNo

Enumeration DateSeptember 16, 2020

NPPES CertifiedSeptember 16, 2020

✔ NPI 1275149197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2434 S EASON BLVD, Tupelo, MS 38804

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Hallie Goodson 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 February 24, 2026 through February 24, 2028.

Opt-Out Effective DateFebruary 24, 2026

Opt-Out In Effect ThroughFebruary 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

TIFFANY BROWN

Counselor (Mental Health)