KEVIN GOODWIN SR. M.A., APCC, PPS
NPI 1396604740
Counselor - Mental Health in Stockton, CA

Active since January 21, 2026
1721 CARPENTER RD, STOCKTON, CA 95206(209) 933-7260 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin Goodwin Sr. M.a., Apcc, Pps NPPES

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

KEVIN GOODWIN SR. M.A., APCC, PPS (NPI 1396604740) is an individual mental health provider in Stockton, California, licensed in California (APCC16194) and active in the NPI registry since January 2026. He maintains a secondary practice location in Stockton.

NPPES Registry Identity

NPI1396604740
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN GOODWIN SR.Credential: M.A., APCC, PPS
Location Address1721 CARPENTER RDStockton, CA 95206-3809
Mailing Address2822 Chauncy CirStockton, CA 95209-1615
Sole ProprietorNo
Enumeration DateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
NPI 1396604740 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 · APCC16194
1721 CARPENTER RD, Stockton, CA 95206

Secondary Practice Location 1

Location 11670 E 6th StStockton, CA 95206-2352 · Phone (209) 933-7190

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 Kevin Goodwin's NPI number?

The NPI number for Kevin Goodwin is 1396604740. It was assigned to this individual provider in the NPPES registry on January 21, 2026.

Where is Kevin Goodwin located?

Kevin Goodwin practices at 1721 Carpenter Rd, Stockton, CA 95206. The listed phone number is (209) 933-7260.

What is Kevin Goodwin's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Goodwin was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.