Mr Richard Ray Goddard Jr, PMHNP-BC, LPCC is a
Nurse Practitioner - Psychiatric/mental Health based in Louisa, Kentucky. Mr Richard Ray Goddard Jr is licensed to practice in Kentucky (license number 4036771) and his current practice location is
203 S Water St, Louisa, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 649-2211.
NPI number for Mr Richard Ray Goddard Jr is 1588109482 and his current mailing address is 125 S Main Cross St, Louisa, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588109482.
Healthcare Provider's Profile
| Full Name | Mr Richard Ray Goddard Jr |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 203 S Water St, Louisa, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588109482
- Provider Enumeration Date: 12/30/2016
- Last Update Date: 04/22/2025
Medical Identifiers
Medical identifiers for Mr Richard Ray Goddard Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588109482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 262574 (Kentucky) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4036771 (Kentucky) | Primary |
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. Mr Richard Ray Goddard Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Richard Ray Goddard Jr, PMHNP-BC, LPCC 125 S Main Cross St, Louisa, KY 41230-1065 Ph: (606) 638-0938 | Mr Richard Ray Goddard Jr, PMHNP-BC, LPCC 203 S Water St, Louisa, KY 41230-1347 Ph: (606) 649-2211 |
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