1. Home
  2. Directory
  3. California
  4. San Diego
  5. Marriage Family Therapist
  6. NPI Profile

CARLY GOODKIN
NPI 1114516820
Marriage & Family Therapist in San Diego, CA

Active since January 16, 2021Opted out of Medicare · through Jan 1, 2028
10755 SCRIPPS POWAY PKWY UNIT 642, SAN DIEGO, CA 92131(484) 441-3309 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, Aug 20, 2021, Jan 16, 2021 (3 updates tracked since 2021).

About Carly Goodkin NPPES

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

CARLY GOODKIN (NPI 1114516820) is an individual marriage & family therapist in San Diego, California, licensed in Pennsylvania (MF001270) and active in the NPI registry since January 2021. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1114516820
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCARLY GOODKIN
Location Address10755 SCRIPPS POWAY PKWY UNIT 642San Diego, CA 92131-6211
Mailing Address10755 Scripps Poway Pkwy Unit 642San Diego, CA 92131-3924 · (484) 441-3309
Phone(484) 441-3309
Sole ProprietorYes
Enumeration DateJanuary 16, 2021
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2024
✔ NPI 1114516820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in PA · MF001270✔ Licensed in CA · 122284
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
10755 SCRIPPS POWAY PKWY UNIT 642, San Diego, CA 92131
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carly Goodkin has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Carly Goodkin's NPI number?

The NPI number for Carly Goodkin is 1114516820. It was assigned to this individual provider in the NPPES registry on January 16, 2021.

Where is Carly Goodkin located?

Carly Goodkin practices at 10755 Scripps Poway Pkwy Unit 642, San Diego, CA 92131. The listed phone number is (484) 441-3309.

What is Carly Goodkin's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Carly Goodkin enrolled in Medicare?

No. Carly Goodkin has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carly Goodkin was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.