HEATHER R GOUDY (CT) – Counselor, NPI 1295348514

HEATHER R GOUDY (CT) is a healthcare provider. based in Dayton, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials CT. They hold a License No. C.2002614-TRNE (OH). The NPI Number for HEATHER R GOUDY (CT) is 1295348514

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER R GOUDY (CT)
NPI
1295348514
Phone
(937) 734-8333
Address
601 S EDWIN C MOSES BLVD
Enumeration Date
26 August 2020
Last Update Date
26 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9377348333
Graduation Year
2021 (5 years ago)
PAC ID
0042662926
Group Practice PAC ID
0244148625
Professional Enrollment ID
I20240116003149
Address ID
OH454173424DA601XXBLVD600
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for HEATHER R GOUDY (CT)

  • 601 S EDWIN C MOSES BLVD

    DAYTON, OH 454173424

    Phone: (937) 734-8333

    Mailing address matches the actual address.

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: 2024-01-16

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
I20240116003149IMental Health CounselorOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45417)

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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: 0244148625View full group profile
NameSpecialtyState
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
-OH
Mental Health CounselorOH
P S Y C H I A T R YOH
Nurse PractitionerOH
-OH
Mental Health CounselorOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

How is HEATHER R GOUDY (CT) identified in CMS data?
CMS-hosted NPPES data lists HEATHER R GOUDY (CT) with NPI 1295348514.
Is HEATHER R GOUDY (CT) listed as active for patients and plans?
The listing shows HEATHER R GOUDY (CT) as active in the NPI system.
What taxonomy line describes HEATHER R GOUDY (CT)?
For research purposes, treat HEATHER R GOUDY (CT) as Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for HEATHER R GOUDY (CT)?
HEATHER R GOUDY (CT)'s geographic hint is Dayton, Ohio in our summary view.
Why does HEATHER R GOUDY (CT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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