TERRY GOODSPEED – Clinical Social Worker, NPI 1427150309

TERRY GOODSPEED is a healthcare provider. based in Independence, Kansas. specializing in Clinical Social Worker. They hold a License No. 1903 (KS). The NPI Number for TERRY GOODSPEED is 1427150309

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
TERRY GOODSPEED
NPI
1427150309
Phone
Not provided
Address
PO BOX 688
Enumeration Date
2 September 2006
Last Update Date
1 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6203311748
Graduation Year
1995 (31 years ago)
PAC ID
6406021104
Group Practice PAC ID
7012904071
Professional Enrollment ID
I20111208000047
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for TERRY GOODSPEED

  • 688, County Road 22A, Andover, Allegany County, New York, 14806, United States

    INDEPENDENCE, KS 673010688

    Phone:

    Type: Mailing

  • West Main Street, Independence, Montgomery County, Kansas, 67301, United States

    INDEPENDENCE, KS 673018446

    Phone: (620) 331-1748

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111208000047IClinical Social WorkerKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour11919$0
90832Psychotherapy, 30 minutes4311$0
View full utilization report →

Insurance plans in this area (ZIP 67301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012904071View full group profile
NameSpecialtyState
Physician AssistantKS
-KS
Mental Health CounselorKS
Nurse PractitionerKS
Nurse PractitionerKS
-TX
Mental Health CounselorKS
Physician AssistantKS
Clinical Social WorkerKS
Mental Health CounselorKS

Reviews

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Frequently asked questions

What is the 10-digit NPI for TERRY GOODSPEED?
TERRY GOODSPEED — NPI 1427150309 — is the standard way to identify this listing.
Can I rely on TERRY GOODSPEED being an active provider?
As of the registry snapshot, TERRY GOODSPEED is marked active.
What is TERRY GOODSPEED's primary classification?
Clinical Social Worker is the headline specialty for TERRY GOODSPEED here. Clinical services aligned with this taxonomy classification.
Where is TERRY GOODSPEED based?
TERRY GOODSPEED is tied to Independence, Kansas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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