MALLORY NICOLE GOODWIN LPC
NPI 1013721612
Counselor - Professional in Fort Worth, TX
About Mallory Nicole Goodwin Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY NICOLE GOODWIN LPC (NPI 1013721612) is an individual professional provider in Fort Worth, Texas, licensed in Texas (93276) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mallory Nicole Goodwin Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mallory Goodwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76107
- Reassigned Medicare billing, Texas enrollment
- 165 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76107
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mallory Goodwin's NPI number?
The NPI number for Mallory Goodwin is 1013721612. It was assigned to this individual provider in the NPPES registry on February 4, 2025.
Where is Mallory Goodwin located?
Mallory Goodwin practices at 3840 Hulen St, Fort Worth, TX 76107. The listed phone number is (817) 335-3022.
What is Mallory Goodwin's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mallory Goodwin enrolled in Medicare?
Yes. Mallory Goodwin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mallory Goodwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Goodwin reassigns Medicare benefits to My Health My Resources Of Tarrant County (Fort Worth, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Goodwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Goodwin accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Mallory Goodwin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mallory Goodwin was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mallory Nicole Goodwin, LPC · NPI 1013721612
Professional provider in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since February 4, 2025.
## Identity
- **NPI:** 1013721612 (Entity type: Individual)
- **Enumerated:** February 4, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 93276 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3840 HULEN ST, Fort Worth, TX 76107-7277
- **Phone:** (817) 335-3022
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** My Health My Resources Of Tarrant County (NPI 1952423782, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013721612) · Data from the CMS NPPES public registry.