| James Patrick Goodmon, LMFT | |
|
727 W 2nd St, Bloomington, IN 47403-2209 | |
| (812) 353-3450 | |
| (812) 353-3451 |
| Full Name | James Patrick Goodmon |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 727 W 2nd St, Bloomington, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942686365 | NPI | - | NPPES |
| 300031245 | Medicaid | IN | |
| 300044771 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 35002004A (Indiana) | Primary |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Mailing Address | Practice Location Address |
|---|---|
| James Patrick Goodmon, LMFT 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | James Patrick Goodmon, LMFT 727 W 2nd St, Bloomington, IN 47403-2209 Ph: (812) 353-3450 |
Patricia Lawson-buckley, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 445 S Landmark Ave, Bloomington, IN 47406 Phone: 812-353-3450 Fax: 812-353-3451 | |
Emily Marie Corturillo, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 803 N Monroe St, Bloomington, IN 47404 Phone: 812-332-1262 | |
Mr. Matthew Alan Lucas, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 120 W 7th St, Suite 104, Bloomington, IN 47404 Phone: 812-339-1551 Fax: 812-334-8398 | |
Deborah Pardue, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3802 E 3rd St, Suite 217, Bloomington, IN 47401 Phone: 812-337-1134 | |
Berek Alin Levell, MAMFT, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 727 W 2nd St, Bloomington, IN 47403 Phone: 317-963-4171 | |
Sierra Lynne Hofmann, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 550 S Adams St, Bloomington, IN 47403 Phone: 812-333-6324 Fax: 812-331-6700 | |
Lindsay S Begley, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5010 N Stone Mill Rd, Bloomington, IN 47408 Phone: 812-929-2193 Fax: 888-789-8394 |