MISS KALISHA GOODWIN MFT TRAINEE
NPI 1194342477
Counselor - Mental Health in Fresno, CA

Active since July 02, 2020PECOS Enrolled
4441 E KINGS CANYON RD, FRESNO, CA 93702(559) 600-9096 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2026, Jul 2, 2020 (2 updates tracked since 2020).

About Miss Kalisha Goodwin Mft Trainee NPPES

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

MISS KALISHA GOODWIN MFT TRAINEE (NPI 1194342477) is an individual mental health provider in Fresno, California, licensed in California (160808) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194342477
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS KALISHA GOODWINCredential: MFT TRAINEE
Location Address4441 E KINGS CANYON RDFresno, CA 93702-3604
Mailing Address4441 E Kings Canyon RdFresno, CA 93702-3604 · (559) 600-9096
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 2, 2020
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
NPI 1194342477 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 CA · 160808
4441 E KINGS CANYON RD, Fresno, CA 93702

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Kalisha Goodwin Mft Trainee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880165380
PECOS Enrollment IDI20260605001004
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.

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.

Licensed Vocational Nurse
4441 E KINGS CANYON RD
FRESNO, CA 93702
Licensed Vocational Nurse
4441 E KINGS CANYON RD
FRESNO, CA 93702
Counselor (Mental Health)
4441 E KINGS CANYON RD
FRESNO, CA 93702
Counselor (Mental Health)
4441 E KINGS CANYON RD
FRESNO, CA 93702
Licensed Psychiatric Technician
4441 E KINGS CANYON RD
FRESNO, CA 93702
Psychologist
4441 E KINGS CANYON RD
FRESNO, CA 93702
Licensed Vocational Nurse
4441 E KINGS CANYON RD
FRESNO, CA 93702
Licensed Vocational Nurse
4441 E KINGS CANYON RD
FRESNO, CA 93702

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 Kalisha Goodwin's NPI number?

The NPI number for Kalisha Goodwin is 1194342477. It was assigned to this individual provider in the NPPES registry on July 2, 2020.

Where is Kalisha Goodwin located?

Kalisha Goodwin practices at 4441 E Kings Canyon Rd, Fresno, CA 93702. The listed phone number is (559) 600-9096.

What is Kalisha Goodwin's specialty?

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

Is Kalisha Goodwin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kalisha Goodwin was last updated on April 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.