Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICHARD RAY GODDARD JR., PMHNP-BC, LPCC
Deactivated Sole ProprietorMR. RICHARD RAY GODDARD JR., PMHNP-BC, LPCC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LOUISA, Kentucky. NPI 1588109482 is deactivated in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · LOUISA, KY
This NPI has been deactivated.
The record was deactivated on April 7, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1588109482
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 30, 2016 (8.2684931506849 yrs)
- Last Updated
- Dec 4, 2025
- Deactivated
- Apr 7, 2025
- Licenses
-
4036771 (KY)262574 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
203 S WATER STLOUISA, KY, 412301347Browse KY providers · Browse ZIP 41230
- Phone
- 6066492211
- Fax
- 6066381399
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Mental Health Counselor
Other Psychiatric/Mental Health Nurse Practitioner Providers in LOUISA, KY
| Name | Credential | NPI |
|---|---|---|
| SHEILA KAY SHORT | APRN | 1356453872 |
| MRS. VERONICA SUE ARMSTRONG | APRN | 1922200161 |
| CAROLYN MARIE MARSHALL | PMHNP | 1427404029 |
| LISA DIANE GREEN | APRN | 1306355797 |
| MS. KENDRA N WISEMAN | APRN, PMHNP-C | 1891338299 |
| STACIE LEIGH GREEN | APRN | 1730719311 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.