JILL GOODWIN LPC, MFT, ATR
NPI 1477096386
Marriage & Family Therapist in Grand Ronde, OR
About Jill Goodwin Lpc, Mft, Atr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILL GOODWIN LPC, MFT, ATR (NPI 1477096386) is an individual marriage & family therapist in Grand Ronde, Oregon, licensed in Oregon (T2320) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jill Goodwin Lpc, Mft, Atr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jill Goodwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Ronde, OR 97347
- Reassigned Medicare billing, Oregon enrollment
- 27 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
GRAND RONDE, OR 97347
GRAND RONDE, OR 97347
GRAND RONDE, OR 97347
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 Jill Goodwin's NPI number?
The NPI number for Jill Goodwin is 1477096386. It was assigned to this individual provider in the NPPES registry on November 24, 2016.
Where is Jill Goodwin located?
Jill Goodwin practices at 9605 Grand Ronde Rd, Grand Ronde, OR 97347. The listed phone number is (503) 879-2026.
What is Jill Goodwin's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Jill Goodwin enrolled in Medicare?
Yes. Jill Goodwin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jill Goodwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jill Goodwin reassigns Medicare benefits to Confederated Tribes Of The Grand Ronde Community Of Oregon (Grand Ronde, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jill Goodwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jill Goodwin was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Jill Goodwin, LPC, MFT, ATR · NPI 1477096386
Marriage & Family Therapist provider in Grand Ronde, Oregon. Individual provider, active in the CMS NPPES registry since November 24, 2016.
## Identity
- **NPI:** 1477096386 (Entity type: Individual)
- **Enumerated:** November 24, 2016
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** T2320 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 9605 GRAND RONDE RD, Grand Ronde, OR 97347-9712
- **Phone:** (503) 879-2026
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Confederated Tribes Of The Grand Ronde Community Of Oregon (NPI 1174666358, Grand Ronde, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1477096386) · Data from the CMS NPPES public registry.