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AUDREY S GODDARD LMHC
NPI 1780047886
Counselor - Mental Health in South Bend, IN

Active since April 05, 2016PECOS Enrolled
4401 W WESTERN AVE STE C, SOUTH BEND, IN 46619(574) 725-7006(574) 807-9614 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2025, Oct 9, 2024 (2 updates tracked since 2024).

About Audrey S Goddard Lmhc NPPES

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

AUDREY S GODDARD LMHC (NPI 1780047886) is an individual mental health provider in South Bend, Indiana, licensed in Indiana (39003682A) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Michigan City, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780047886
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAUDREY S GODDARDCredential: LMHC
Location Address4401 W WESTERN AVE STE CSouth Bend, IN 46619-2645
Mailing Address59877 Middleboro StSouth Bend, IN 46614-3625
Phone(574) 725-7006
Fax(574) 807-9614
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 5, 2016
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1780047886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39003682A
Also ListedCounselorTaxonomy 101Y00000X
4401 W WESTERN AVE STE C, South Bend, IN 46619
Open in Google Maps ↗

Secondary Practice Location 1

Location 1601 Franklin StMichigan City, IN 46360-3474 · Phone (219) 877-4772

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey S Goddard Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709236938
PECOS Enrollment IDI20231229000792
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 Reassignments

2

Medicare enrollment records show Audrey Goddard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osh-In Physicians Group, PC
126 mi
Primary Care
2240 E 53RD ST STE B1
Indianapolis, IN 46220
  • Reassigned Medicare billing, Indiana enrollment
  • 80 clinicians in this Medicare group
NPI 1073995338 (317) 933-7047
Thrive Counseling LLC
482 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Indiana enrollment
  • 34 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

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 4

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

DONNA LYNN WOODWARD NP-C
Nurse Practitioner (Family)
4401 W WESTERN AVE STE C
SOUTH BEND, IN 46619
St. Joseph County (574) 725-7006
SUSAN FREE
Nurse Practitioner (Family)
4401 W WESTERN AVE STE C
SOUTH BEND, IN 46619
St. Joseph County (574) 725-7006
MRS. LEE ANN MATSON NURSE PRACTITIONER
Nurse Practitioner (Family)
4401 W WESTERN AVE STE C
SOUTH BEND, IN 46619
St. Joseph County (574) 725-7006
MRS. GLENDORA G POMPEY M.D.
Family Medicine
4401 W WESTERN AVE STE C
SOUTH BEND, IN 46619
St. Joseph County (574) 725-7006

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 Audrey Goddard's NPI number?

The NPI number for Audrey Goddard is 1780047886. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Audrey Goddard located?

Audrey Goddard practices at 4401 W Western Ave Ste C, South Bend, IN 46619. The listed phone number is (574) 725-7006.

What is Audrey Goddard's specialty?

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

Is Audrey Goddard enrolled in Medicare?

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

Which organizations bill Medicare for Audrey Goddard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Goddard reassigns Medicare benefits to 2 organizations: Osh-In Physicians Group, PC (Indianapolis, IN) and Thrive Counseling LLC (Lynchburg, VA). Each 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 Audrey Goddard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audrey Goddard accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Audrey Goddard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Audrey Goddard was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.