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WALLACE GOODMAN
NPI 1427488055
Counselor - Addiction (Substance Use Disorder) in Hayti, MO

Active since November 18, 2013PECOS Enrolled
501 HIGHWAY J N, HAYTI, MO 63851(573) 359-2600 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wallace Goodman NPPES

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

WALLACE GOODMAN (NPI 1427488055) is an individual addiction (substance use disorder) provider in Hayti, Missouri, licensed in Missouri (2011024580) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427488055
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameWALLACE GOODMAN
Location Address501 HIGHWAY J NHayti, MO 63851
Mailing Address2009 Southwind CvDyersburg, TN 38024-8875
Phone(573) 359-2600
Sole ProprietorNo
Enumeration DateNovember 18, 2013
✔ NPI 1427488055 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 MO · 2011024580
501 HIGHWAY J N, Hayti, MO 63851
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallace Goodman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Wallace Goodman's NPI number?

The NPI number for Wallace Goodman is 1427488055. It was assigned to this individual provider in the NPPES registry on November 18, 2013.

Where is Wallace Goodman located?

Wallace Goodman practices at 501 Highway J N, Hayti, MO 63851. The listed phone number is (573) 359-2600.

What is Wallace Goodman's specialty?

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

Is Wallace Goodman enrolled in Medicare?

Yes. Wallace Goodman is registered in the Medicare PECOS enrollment system.

What insurance does Wallace Goodman accept?

Health plans from Medica list Wallace Goodman 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 Wallace Goodman was last updated on November 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.