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MS. JESSAMYN K GOODWIN LAC
NPI 1760100069
Counselor - Mental Health in West Fork, AR

Active since August 22, 2022
55 DOGWOOD LN, WEST FORK, AR 72774(479) 263-5662 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Jessamyn K Goodwin Lac NPPES

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

MS. JESSAMYN K GOODWIN LAC (NPI 1760100069) is an individual mental health provider in West Fork, Arkansas, licensed in Arkansas (A2010142) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1760100069
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JESSAMYN K GOODWINCredential: LAC
Location Address55 DOGWOOD LNWest Fork, AR 72774-3025
Mailing Address55 Dogwood LnWest Fork, AR 72774-3025 · (479) 263-5662
Phone(479) 263-5662
Sole ProprietorYes
Enumeration DateAugust 22, 2022
NPPES CertifiedAugust 22, 2022
✔ NPI 1760100069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · A2010142
55 DOGWOOD LN, West Fork, AR 72774
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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 Jessamyn Goodwin's NPI number?

The NPI number for Jessamyn Goodwin is 1760100069. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Jessamyn Goodwin located?

Jessamyn Goodwin practices at 55 Dogwood Ln, West Fork, AR 72774. The listed phone number is (479) 263-5662.

What is Jessamyn Goodwin's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessamyn Goodwin was last updated on August 22, 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.