IndividualActive
Jessamyn Goodwin, LAC
NPI 1760100069 · Mental Health Counselor · West Fork, AR
Provider details
- NPI number
- 1760100069
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- A2010142 (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
55 Dogwood Ln
West Fork, AR 72774-3025
Phone: (479) 263-5662
Street-level locationGet directions
Mailing address
55 Dogwood Ln
West Fork, AR 72774-3025
Registry dates
- Enumerated
- 2022-08-22
- Last updated
- 2022-08-22
- Certified
- 2022-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.