ALYSSA MARINA-NICOLE GOODWINE LCMHC
NPI 1508412750
Counselor - Mental Health in Charlotte, NC
About Alyssa Marina-nicole Goodwine Lcmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA MARINA-NICOLE GOODWINE LCMHC (NPI 1508412750) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (15027) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alyssa Marina-nicole Goodwine Lcmhc 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTE, NC 28206
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 Alyssa Goodwine's NPI number?
The NPI number for Alyssa Goodwine is 1508412750. It was assigned to this individual provider in the NPPES registry on August 14, 2019.
Where is Alyssa Goodwine located?
Alyssa Goodwine practices at 405 Kings Crossing Dr, Charlotte, NC 28206. The listed phone number is (814) 528-1000.
What is Alyssa Goodwine's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Alyssa Goodwine enrolled in Medicare?
Yes. Alyssa Goodwine 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.
What insurance does Alyssa Goodwine accept?
Health plans from UnitedHealthcare list Alyssa Goodwine 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 Alyssa Goodwine was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Alyssa Marina-Nicole Goodwine, LCMHC · NPI 1508412750
Mental Health provider in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since August 14, 2019.
## Identity
- **NPI:** 1508412750 (Entity type: Individual)
- **Enumerated:** August 14, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 15027 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 405 KINGS CROSSING DR, Charlotte, NC 28206-3870
- **Phone:** (814) 528-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1508412750) · Data from the CMS NPPES public registry.