KIMBERLY LYNN GOODWIN BSN, MRC, CRC, LPC
NPI 1245621507
Counselor - Professional in Saint Clair Shores, MI

Active since February 09, 2015
25490 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48081(586) 246-7837 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kimberly Lynn Goodwin Bsn, Mrc, Crc, Lpc NPPES

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

KIMBERLY LYNN GOODWIN BSN, MRC, CRC, LPC (NPI 1245621507) is an individual professional provider in Saint Clair Shores, Michigan, licensed in Michigan (6401010236) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1245621507
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY LYNN GOODWINCredential: BSN, MRC, CRC, LPC
Location Address25490 LITTLE MACK AVESaint Clair Shores, MI 48081-2157
Mailing Address25490 Little Mack AveSaint Clair Shores, MI 48081-2157 · (586) 246-7837
Sole ProprietorYes
Enumeration DateFebruary 9, 2015
Last NPPES UpdateOctober 21, 2016
✔ NPI 1245621507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401010236
Also ListedRegistered Nurse · RehabilitationTaxonomy 163WR0400X · License 4704247001 (MI)
25490 LITTLE MACK AVE, Saint Clair Shores, MI 48081

Other Identifiers 1

Other11861990Caqh

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
25490 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081
Social Worker (Clinical)
25490 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081
Social Worker (Clinical)
25490 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081
Social Worker (Clinical)
25490 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081

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 Kimberly Goodwin's NPI number?

The NPI number for Kimberly Goodwin is 1245621507. It was assigned to this individual provider in the NPPES registry on February 9, 2015.

Where is Kimberly Goodwin located?

Kimberly Goodwin practices at 25490 Little Mack Ave, Saint Clair Shores, MI 48081. The listed phone number is (586) 246-7837.

What is Kimberly Goodwin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Kimberly Goodwin accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and Providence Health Plan list Kimberly 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 Kimberly Goodwin was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.