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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE GOODWIN LPC
NPI 1255163416
Counselor - Professional in Fredericktown, PA

Active since August 16, 2024PECOS EnrolledAccepts Medicare Assignment
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333(724) 632-6801 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 11, 2026, Aug 16, 2024 (2 updates tracked since 2024).

About Nicole Goodwin Lpc NPPES

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

NICOLE GOODWIN LPC (NPI 1255163416) is an individual professional provider in Fredericktown, Pennsylvania, licensed in Pennsylvania (PC017367) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255163416
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE GOODWINCredential: LPC
Location Address1070 OLD NATIONAL PIKEFredericktown, PA 15333-2114
Mailing Address1070 Old National PikeFredericktown, PA 15333-2114 · (724) 632-6801
Phone(724) 632-6801
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 16, 2024
Last NPPES UpdateOctober 11, 20262 updates tracked since enumeration
NPPES CertifiedOctober 11, 2026
✔ NPI 1255163416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC017367
1070 OLD NATIONAL PIKE, Fredericktown, PA 15333
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Goodwin Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143754598
PECOS Enrollment IDI20241107004133
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 Reassignment

Medicare enrollment records show Nicole Goodwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centerville Clinics , Inc.
0.1 mi
Psychiatry
1070 OLD NATIONAL PIKE
Fredericktown, PA 15333
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 11 clinicians in this Medicare group
NPI 1235110156 (724) 632-6801

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.

ALEXANDRIA MARIE BAKOS CRNP
Nurse Practitioner
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
DR. YONG DAE CHO M.D.
Family Medicine
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MRS. LUCARRIA POPIELARCHECK L.P.N A.C.M.
Specialist
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
CENTERVILLE CLINICS, INC PEER SUPPORT
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MISS VICKI L MURRAY
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
SHELBY DUKE
Counselor
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MRS. CECILIA L KNUTSEN
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
JAMES WHISNER
Social Worker (Clinical)
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801

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 Nicole Goodwin's NPI number?

The NPI number for Nicole Goodwin is 1255163416. It was assigned to this individual provider in the NPPES registry on August 16, 2024.

Where is Nicole Goodwin located?

Nicole Goodwin practices at 1070 Old National Pike, Fredericktown, PA 15333. The listed phone number is (724) 632-6801.

What is Nicole Goodwin's specialty?

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

Is Nicole Goodwin enrolled in Medicare?

Yes. Nicole Goodwin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicole Goodwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Goodwin reassigns Medicare benefits to Centerville Clinics , Inc. (Fredericktown, PA). 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 Nicole 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 Nicole Goodwin was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.