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LESLIE DAWN GOODMAN
NPI 1619565017
Peer Specialist in Konawa, OK

Active since January 02, 2021
14430 NS 3500, KONAWA, OK 74849(580) 925-2650 Get Directions Write a Review

NPPES record last updated: January 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Leslie Dawn Goodman NPPES

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

LESLIE DAWN GOODMAN (NPI 1619565017) is an individual peer specialist in Konawa, Oklahoma and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1619565017
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameLESLIE DAWN GOODMAN
Location Address14430 NS 3500Konawa, OK 74849-4901
Mailing Address14430 Ns 3500Konawa, OK 74849-4901 · (580) 925-2650
Phone(580) 925-2650
Sole ProprietorNo
Enumeration DateJanuary 2, 2021
NPPES CertifiedJanuary 2, 2021
✔ NPI 1619565017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
14430 NS 3500, Konawa, OK 74849
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Other Identifiers 1

Other01Valliant House

Other Providers at the Same Location NPPES 10

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

JENNIFER JEAN JOHNSTON LPN
Case Manager/Care Coordinator
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650
JENAE MICOZZI
Case Manager/Care Coordinator
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650
CHRIS LYNN WHITE JR.
Peer Specialist
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650
SHAKILA KASHAWN GREEN CMII
Counselor (Addiction (Substance Use Disorder))
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650
CHARLES HOUSTON FURR
Peer Specialist
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650
TOMMY LYNN SAWYER
Case Manager/Care Coordinator
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650
DESTINIE ROSE VINCENT
Case Manager/Care Coordinator
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650
JOSHUA KEITH FARMER
Peer Specialist
14430 NS 3500
KONAWA, OK 74849
Seminole County (580) 925-2650

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 Leslie Goodman's NPI number?

The NPI number for Leslie Goodman is 1619565017. It was assigned to this individual provider in the NPPES registry on January 2, 2021.

Where is Leslie Goodman located?

Leslie Goodman practices at 14430 Ns 3500, Konawa, OK 74849. The listed phone number is (580) 925-2650.

What is Leslie Goodman's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Leslie Goodman was last updated on January 2, 2021. 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.