# MR. RICHARD RAY GODDARD JR.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588109482
- **Gender:** Man
- **Credential:** PMHNP-BC, LPCC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 262574 | KY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0024195058 | VA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0042065 | OH | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2025041114 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 4036771 | KY | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 53-84794-072 | KS | — |

## Other

- **Enumeration date:** 12/30/2016
- **Last updated:** 07/01/2026