JACQUELINE MARIE GODDARD
NPI 1700530201
Counselor - Mental Health in Ware, MA

Active since February 04, 2022PECOS Enrolled

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacqueline Marie Goddard NPPES

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

JACQUELINE MARIE GODDARD (NPI 1700530201) is an individual mental health provider in Ware, Massachusetts and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1700530201
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE MARIE GODDARD
Location Address96 SOUTH STWare, MA 01082-1616
Mailing Address96 South StWare, MA 01082-1616 · (413) 262-8935
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 4, 2022
NPPES CertifiedDecember 15, 2021
✔ NPI 1700530201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
96 SOUTH ST, Ware, MA 01082

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Marie Goddard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547744054
PECOS Enrollment IDI20260324000388
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Goddard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
417 LIBERTY ST
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 211 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.

Social Worker (Clinical)
96 SOUTH ST
WARE, MA 01082
Social Worker
96 SOUTH ST
WARE, MA 01082
Counselor
96 SOUTH ST
WARE, MA 01082
Social Worker (Clinical)
96 SOUTH ST
WARE, MA 01082
Social Worker (Clinical)
96 SOUTH ST
WARE, MA 01082
Social Worker (Clinical)
96 SOUTH ST
WARE, MA 01082
Social Worker (Clinical)
96 SOUTH ST
WARE, MA 01082
Social Worker (Clinical)
96 SOUTH ST
WARE, MA 01082

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 Jacqueline Goddard's NPI number?

The NPI number for Jacqueline Goddard is 1700530201. It was assigned to this individual provider in the NPPES registry on February 4, 2022.

Where is Jacqueline Goddard located?

Jacqueline Goddard practices at 96 South St, Ware, MA 01082. The listed phone number is (413) 262-8935.

What is Jacqueline Goddard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacqueline Goddard enrolled in Medicare?

Yes. Jacqueline Goddard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Goddard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Goddard reassigns Medicare benefits to Behavioral Health Network Inc (Springfield, MA). 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 Jacqueline Goddard'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 Jacqueline Goddard was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.