JADA GODDARD TCADC
NPI 1841036704
Counselor - Addiction (Substance Use Disorder) in Waverly, IA
About Jada Goddard Tcadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JADA GODDARD TCADC (NPI 1841036704) is an individual addiction (substance use disorder) provider in Waverly, Iowa, licensed in Iowa (T24003) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jada Goddard Tcadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
WAVERLY, IA 50677
WAVERLY, IA 50677
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 Jada Goddard's NPI number?
The NPI number for Jada Goddard is 1841036704. It was assigned to this individual provider in the NPPES registry on July 1, 2024. The provider is also known as Jada Pleggenkuhle.
Where is Jada Goddard located?
Jada Goddard practices at 111 10th St SW, Waverly, IA 50677. The listed phone number is (319) 352-2064.
What is Jada Goddard's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Jada Goddard enrolled in Medicare?
Yes. Jada Goddard is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jada Goddard was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jada Goddard, TCADC · NPI 1841036704
Addiction (Substance Use Disorder) provider in Waverly, Iowa. Individual provider, active in the CMS NPPES registry since July 1, 2024.
## Identity
- **NPI:** 1841036704 (Entity type: Individual)
- **Enumerated:** July 1, 2024
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** T24003 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 10TH ST SW, Waverly, IA 50677-2925
- **Phone:** (319) 352-2064
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1841036704) · Data from the CMS NPPES public registry.