Goodwill Industries of Dayton, Inc. – Counselor, NPI 1154547883
Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Goodwill Industries of Dayton, Inc.
732 W National Rd
Vandalia, OH 453771015
Phone: (937) 528-7400
Fax: (937) 461-6671
Type: Location
243 Warren St
Dayton, OH 454022803
Phone: (937) 262-7983
Fax: (937) 223-2486
Type: Location
735 E. Main St.
Dayton, OH 454262903
Phone: (937) 461-4801
Fax: (937) 461-6671
Type: Location
660 S MAIN ST
DAYTON, OH 454022708
Phone: (937) 461-4800
Fax: (937) 461-9578
Type: Mailing
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: 2018-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1012 days ago).
Enrollment records
1
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20180824000626 | O | Clinic/Group Practice | OH | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 45377)
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