Healthcare Provider Details

I. General information

NPI: 1326503152
Provider Name (Legal Business Name): RACHEL JESSICA GODDARD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL JESSICA SCOGGAN LPC

II. Dates (important events)

Enumeration Date: 02/06/2019
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1579 NE RICE RD
LEES SUMMIT MO
64086-5849
US

IV. Provider business mailing address

1555 NE RICE RD
LEES SUMMIT MO
64086-5849
US

V. Phone/Fax

Practice location:
  • Phone: 816-347-3069
  • Fax: 816-347-3200
Mailing address:
  • Phone: 816-347-3069
  • Fax: 816-347-3200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2025024496
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2408
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: