JILL GOODWIN LPC, MFT, ATR
NPI 1477096386
Marriage & Family Therapist in Grand Ronde, OR

Q: 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.

Q: What is Jill Goodwin's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: 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 11 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.

Active since November 24, 2016PECOS Enrolled

9605 GRAND RONDE RD, GRAND RONDE, OR 97347(503) 879-2026 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 3, 2022, Nov 24, 2016 (3 updates tracked since 2016).

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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

NPI1477096386

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJILL GOODWINCredential: LPC, MFT, ATR

Location Address9605 GRAND RONDE RDGrand Ronde, OR 97347-9712

Mailing Address1035 Calhoun StNew Orleans, LA 70118-5913 · (504) 308-3501 · Fax (504) 301-0836

Phone(503) 879-2026

Sole ProprietorNo

Enumeration DateNovember 24, 2016

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2024

✔ NPI 1477096386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in OR · T2320

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

9605 GRAND RONDE RD, Grand Ronde, OR 97347

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill Goodwin Lpc, Mft, Atr 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.

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.

HEIDI KATHLEEN HICINBOTHOM

Peer Specialist