TOMMY GOODROE - NPI 1689250300 - Peer Specialist in Essexville, MI

Q: What is Tommy Goodroe's NPI number?

The NPI number for Tommy Goodroe is 1689250300. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Q: What is Tommy Goodroe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tommy Goodroe was last updated on March 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tommy Goodroe NPPES

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

TOMMY GOODROE (NPI 1689250300) is an individual peer specialist in Essexville, Michigan and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1689250300

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameTOMMY GOODROE

Location Address863 N PINE RD STE AEssexville, MI 48732-2159

Mailing Address863 N Pine Rd Ste AEssexville, MI 48732-2159 · (989) 928-3566

Phone(989) 928-3566

Sole ProprietorNo

Enumeration DateMarch 23, 2021

NPPES CertifiedMarch 23, 2021

✔ NPI 1689250300 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.

863 N PINE RD STE A, Essexville, MI 48732

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Other Providers at the Same Location NPPES 15

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

RICHARD PRESTON HILL

Counselor (Addiction (Substance Use Disorder))