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TERESA LYNN GOODWIN MA
NPI 1336763754
Counselor - Mental Health in Wasilla, AK

Active since June 01, 2020PECOS Enrolled
1363 W SPRUCE AVE, WASILLA, AK 99654(907) 414-6516 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Teresa Lynn Goodwin Ma NPPES

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

TERESA LYNN GOODWIN MA (NPI 1336763754) is an individual mental health provider in Wasilla, Alaska and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336763754
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTERESA LYNN GOODWINCredential: MA
Location Address1363 W SPRUCE AVEWasilla, AK 99654-5327
Mailing Address1363 W Spruce AveWasilla, AK 99654-5327 · (907) 414-6516
Phone(907) 414-6516
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 1, 2020
NPPES CertifiedJune 1, 2020
✔ NPI 1336763754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1363 W SPRUCE AVE, Wasilla, AK 99654
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Lynn Goodwin Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052855384
PECOS Enrollment IDI20240627003257
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 Teresa Goodwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Therapy Services LLC
2,799 mi
Community/Behavioral Health
2900 ROOSEVELT RD
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 5 clinicians in this Medicare group
NPI 1922557800 (262) 997-9411

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.

PARIS TAYLOR LCSW-C
Counselor (Mental Health)
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2411
MS. LISA BOUYEA-FRANCIES APRN-FNP
Nurse Practitioner (Family)
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2411
LINDA LEE SHEPARD
Case Manager/Care Coordinator
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2411
MS. LORI ANN PETAL
Peer Specialist
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2411
DR. HEIDI ANN KOSLO DNP, APRN, FNP-BC
Nurse Practitioner (Family)
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2411
MISS ROBIN BAYARD HUGHES LMSW
Social Worker (Clinical)
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2411
APRIL E CHEEK
Peer Specialist
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 521-2835
JEWELL DOUGLAS BRADFORD
Peer Specialist
1363 W SPRUCE AVE
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2411

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 Teresa Goodwin's NPI number?

The NPI number for Teresa Goodwin is 1336763754. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Teresa Goodwin located?

Teresa Goodwin practices at 1363 W Spruce Ave, Wasilla, AK 99654. The listed phone number is (907) 414-6516.

What is Teresa Goodwin's specialty?

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

Is Teresa Goodwin enrolled in Medicare?

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

Which organization bills Medicare for Teresa Goodwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Goodwin reassigns Medicare benefits to Thrive Therapy Services LLC (Kenosha, WI). 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 Teresa Goodwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Goodwin accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and UnitedHealthcare list Teresa 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 Teresa Goodwin was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.