KIMBERLY GOODWIN
NPI 1548689813
Counselor - Mental Health in Newport News, VA

Q: What is Kimberly Goodwin's NPI number?

The NPI number for Kimberly Goodwin is 1548689813. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Kimberly Goodwin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Goodwin was last updated on April 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment

733 THIMBLE SHOALS BLVD STE 170, NEWPORT NEWS, VA 23606(757) 240-5595(757) 240-5596 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kimberly Goodwin NPPES

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

KIMBERLY GOODWIN (NPI 1548689813) is an individual mental health provider in Newport News, Virginia, licensed in Virginia (0701005762) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1548689813

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKIMBERLY GOODWIN

Location Address733 THIMBLE SHOALS BLVD STE 170Newport News, VA 23606-4260

Mailing Address733 Thimble Shoals Blvd Ste 170Newport News, VA 23606-4260 · (757) 240-5595 · Fax (757) 240-5596

Phone(757) 240-5595

Fax(757) 240-5596

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateApril 15, 2014

✔ NPI 1548689813 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 VA · 0701005762

733 THIMBLE SHOALS BLVD STE 170, Newport News, VA 23606

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Other Identifiers 1

Other0701005762VA · Licensed Professional Counselor

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Kimberly Goodwin 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 ID1759733256

PECOS Enrollment IDI20240119004069

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.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE DENYSE STEPHENS MS

Speech-Language Pathologist