Audrey S Goddard, LMHC in South Bend, IN - Medicare Counselor Provider

Audrey S Goddard, LMHC is a medicare enrolled "Counselor - Mental Health" provider in South Bend, Indiana. Her current practice location is 4401 W Western Ave Ste C, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 725-7006.

Audrey S Goddard is licensed to practice in Indiana (license number 39003682A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780047886.

Contact Information

	Audrey S Goddard, LMHC
	4401 W Western Ave Ste C, South Bend, IN 46619-2645
	(574) 725-7006
	(574) 807-9614

Map and Direction

Healthcare Provider's Profile

Full Name	Audrey S Goddard
Gender	Female
Speciality	Counselor - Mental Health
Location	4401 W Western Ave Ste C, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780047886
Provider Enumeration Date: 04/05/2016
Last Update Date: 06/25/2025

Medicare PECOS Information:

PECOS PAC ID: 6709236938
Enrollment ID: I20231229000792

Medical Identifiers

Medical identifiers for Audrey S Goddard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780047886	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	39003682A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Audrey S Goddard allows following entities to bill medicare on her behalf.

Entity Name	Osh-in Physicians Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073995338 PECOS PAC ID: 6800100512 Enrollment ID: O20150807014284

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210621001732

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audrey S Goddard is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Audrey S Goddard, LMHC 59877 Middleboro St, South Bend, IN 46614-3625 Ph: () -	Audrey S Goddard, LMHC 4401 W Western Ave Ste C, South Bend, IN 46619-2645 Ph: (574) 725-7006

Reviews and Comments

Counselor in South Bend, IN

Breana S Bowsher, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-283-1234 Fax: 574-283-1361
Mr. Donald Alden Cronk Iii, M.S., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 E Colfax Ave, South Bend, IN 46617 Phone: 574-277-7734 Fax: 574-277-7734
Lafo Robbins, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131
Clarice Shear, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Mrs. Carrie Anne Bianchini, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Karen Zeck, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17195 Cleveland Rd, Samaritan Counseling Center, South Bend, IN 46635 Phone: 574-277-0274 Fax: 574-271-7202
Karen Tang, Counselor Medicare: Medicare Enrolled Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652

Audrey S Goddard, LMHC - Medicare Counselor in South Bend, IN