MEDICARE: ALEXANDER GOODYEAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPCC.0019408	CO

General Provider Information

NPI Number	:	1437002581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER GOODYEAR

Provider Business Mailing Address
First Line	:	4253 NAVAJO ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-2533
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4253 NAVAJO ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-2533
Country	:	US
Telephone Number	:	520-907-2024
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ ALEXANDER GOODYEAR ” Practice Location

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