DR. JOHN DANIEL GODDARD (MS, ED.D, LPC, CAADC) – Professional Counselor, NPI 1043909146

DR. JOHN DANIEL GODDARD (MS, ED.D, LPC, CAADC) is a healthcare provider. based in Enola, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, ED.D, LPC, CAADC. They hold a License No. PC018867 (PA). The NPI Number for DR. JOHN DANIEL GODDARD (MS, ED.D, LPC, CAADC) is 1043909146

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN DANIEL GODDARD (MS, ED.D, LPC, CAADC)
NPI
1043909146
Phone
(717) 438-4878
Address
6035 Wertzville Rd
Enumeration Date
4 May 2023
Last Update Date
16 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7172721653
Graduation Year
2023 (3 years ago)
PAC ID
6608378815
Group Practice PAC ID
1355331471
Professional Enrollment ID
I20250907000172
Address ID
PA170465040LE200XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:3State licenses:1Digital endpointsOther names

2,541 MENTAL HEALTH COUNSELOR in PA

Provider Addresses for DR. JOHN DANIEL GODDARD (MS, ED.D, LPC, CAADC)

  • 6035 Wertzville Rd

    Enola, PA 170251158

    Phone: (717) 438-4878

    Type: Location

  • 6035 WERTZVILLE RD

    ENOLA, PA 170251158

    Phone: (717) 438-4878

    Type: Mailing

  • 700 MARKET ST

    LEMOYNE, PA 170431515

    Phone: (717) 745-7484

    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: 2025-09-07

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
I20250907000172IMental Health CounselorPATBD

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 17025)

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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: 1355331471View full group profile
NameSpecialtyState
Mental Health CounselorMD
Mental Health CounselorPA
Clinical Social WorkerPA
-PA
Clinical Social WorkerPA
Clinical Social WorkerPA
Clinical Social WorkerPA
Mental Health CounselorPA
Clinical Social WorkerPA
-PA

Reviews

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Frequently asked questions

What is the standard ID for DR. JOHN DANIEL GODDARD (MS, ED.D, LPC, CAADC) in the U.S.?
In the U.S., DR. JOHN DANIEL GODDARD (MS, ED.D, LPC, CAADC) is identified by NPI 1043909146.
Is DR. JOHN DANIEL GODDARD (MS, ED.D, LPC, CAADC)'s NPI status active today?
Active status means DR. JOHN DANIEL GODDARD (MS, ED.D, LPC, CAADC)'s NPI record is not deactivated in the public file.
What type of care does DR. JOHN DANIEL GODDARD (MS, ED.D, LPC, CAADC) provide?
DR. JOHN DANIEL GODDARD (MS, ED.D, LPC, CAADC)'s profile centers on Professional Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JOHN DANIEL GODDARD (MS, ED.D, LPC, CAADC)?
DR. JOHN DANIEL GODDARD (MS, ED.D, LPC, CAADC) shows a connection to Enola, Pennsylvania in registry-derived data.
Who maintains DR. JOHN DANIEL GODDARD (MS, ED.D, LPC, CAADC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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