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DAJUANA GOODWIN LCPC
NPI 1073870853
Counselor - Mental Health in Prince Frederick, MD

Active since April 18, 2012PECOS Enrolled
975 SOLOMONS ISLAND RD N, PRINCE FREDERICK, MD 20678(410) 535-5400 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dajuana Goodwin Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAJUANA GOODWIN LCPC (NPI 1073870853) is an individual mental health provider in Prince Frederick, Maryland, licensed in Maryland (LC4413) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte Hall.

NPPES Registry Identity

NPI1073870853
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDAJUANA GOODWINCredential: LCPC
Location Address975 SOLOMONS ISLAND RD NPrince Frederick, MD 20678-3917
Mailing Address1203 Addison CtWaldorf, MD 20602-1642 · (301) 848-9360
Phone(410) 535-5400
Sole ProprietorYes
Enumeration DateApril 18, 2012
Last NPPES UpdateMay 20, 2019
✔ NPI 1073870853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC4413
975 SOLOMONS ISLAND RD N, Prince Frederick, MD 20678
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Secondary Practice Location 1

Location 130007 Business Center DrCharlotte Hall, MD 20622-3101 · Phone (301) 997-1300 · Fax (301) 863-4744

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dajuana Goodwin Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Dajuana Goodwin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Axis Healthcare Group
38 mi
Psychiatry
8040 GEORGIA AVE STE 170
Silver Spring, MD 20910
  • Reassigned Medicare billing, District of Columbia enrollment
  • 128 clinicians in this Medicare group
NPI 1326295098 (202) 360-4787
Mcs, PC
38 mi
Community/Behavioral Health
8040 GEORGIA AVE STE 170
Silver Spring, MD 20910
  • Reassigned Medicare billing, North Carolina enrollment
  • 17 clinicians in this Medicare group
NPI 1538717723 (888) 879-9786

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.

MR. JASON ROBERT PHELAN BA-ADP
Counselor (Addiction (Substance Use Disorder))
975 SOLOMONS ISLAND RD N
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-3079
MRS. MARILYN C LOVING BA, CAC-AD
Counselor (Addiction (Substance Use Disorder))
975 SOLOMONS ISLAND RD N
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400
MARY BACHAR RN
Registered Nurse
975 SOLOMONS ISLAND RD N
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400
MISS KORI LYNN PILKINS BA, CSC-ADP
Counselor (Addiction (Substance Use Disorder))
975 SOLOMONS ISLAND RD N
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400
LORI L. SMITH-WILLIAMSON MSN, N.P.
Psychiatry & Neurology (Psychiatry)
975 SOLOMONS ISLAND RD N
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400
STATE OF MARYLAND
Public Health or Welfare
975 SOLOMONS ISLAND RD N
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400
MRS. AMANDA LYNN SHORES MS-ADP
Counselor (Addiction (Substance Use Disorder))
975 SOLOMONS ISLAND RD N
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-3079
LAURA PASIK RN
Registered Nurse
975 SOLOMONS ISLAND RD N
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400

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 Dajuana Goodwin's NPI number?

The NPI number for Dajuana Goodwin is 1073870853. It was assigned to this individual provider in the NPPES registry on April 18, 2012.

Where is Dajuana Goodwin located?

Dajuana Goodwin practices at 975 Solomons Island Rd N, Prince Frederick, MD 20678. The listed phone number is (410) 535-5400.

What is Dajuana Goodwin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Dajuana Goodwin enrolled in Medicare?

Yes. Dajuana Goodwin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dajuana Goodwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dajuana Goodwin reassigns Medicare benefits to 2 organizations: Axis Healthcare Group (Silver Spring, MD) and Mcs, PC (Silver Spring, MD). Each 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 Dajuana Goodwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dajuana Goodwin was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.