1. Home
  2. Directory
  3. Illinois
  4. Dekalb
  5. Counselor
  6. NPI Profile

MR. KYLE PRESTON GOODWIN LCPC
NPI 1508508417
Counselor - Mental Health in Dekalb, IL

Active since April 11, 2022
1340 CHESTNUT ST, DEKALB, IL 60115(773) 947-4105 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kyle Preston Goodwin Lcpc NPPES

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

MR. KYLE PRESTON GOODWIN LCPC (NPI 1508508417) is an individual mental health provider in Dekalb, Illinois, licensed in Illinois (180.014323) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1508508417
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KYLE PRESTON GOODWINCredential: LCPC
Location Address1340 CHESTNUT STDekalb, IL 60115-8971
Mailing AddressPo Box 1104Dekalb, IL 60115-7104
Phone(773) 947-4105
Sole ProprietorYes
Enumeration DateApril 11, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1508508417 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 IL · 180.014323
1340 CHESTNUT ST, Dekalb, IL 60115
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kyle Goodwin's NPI number?

The NPI number for Kyle Goodwin is 1508508417. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Kyle Goodwin located?

Kyle Goodwin practices at 1340 Chestnut St, Dekalb, IL 60115. The listed phone number is (773) 947-4105.

What is Kyle 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 Kyle Goodwin was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.