Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Randall R Godwin, MED, LIAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205160108

Randall R Godwin, MED, LIAC is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2013, 13 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
13
Licensed in
AZ
In the registry since
2009
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

20 E Thomas Rd Ste 2200
Phoenix, AZ 85012-3133
Phone: (844) 843-7279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016-3493 — (888) 711-5993

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LIAC-11869 (AZ)

Record details

NPI number1205160108
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , LIAC
Sole proprietorYes
NPI enumeratedSeptember 24, 2009
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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