DESTINY NICOLE GOLDNER MS, LMHC-A
NPI 1619665767
Counselor - Mental Health in Sullivan, IN

Active since April 26, 2023PECOS EnrolledAccepts Medicare Assignment
2200 N SECTION ST, SULLIVAN, IN 47882(812) 268-4311 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Destiny Nicole Goldner Ms, Lmhc-a NPPES

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

DESTINY NICOLE GOLDNER MS, LMHC-A (NPI 1619665767) is an individual mental health provider in Sullivan, Indiana, licensed in Indiana (39005657A) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sullivan, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619665767
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDESTINY NICOLE GOLDNERCredential: MS, LMHC-A
Location Address2200 N SECTION STSullivan, IN 47882-7523
Mailing AddressPo Box 10Sullivan, IN 47882-0010 · (812) 268-4311
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 26, 2023
Last NPPES UpdateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
NPI 1619665767 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 IN · 39005657A
2200 N SECTION ST, Sullivan, IN 47882

Other Names 1

Former Name (1)Destiny Fine

Secondary Practice Location 1

Location 12232 N Hospital Blvd Ste 2Sullivan, IN 47882-7674 · Phone (812) 268-2562

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

Destiny Nicole Goldner Ms, Lmhc-a 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 ID1153788666
PECOS Enrollment IDI20250925002911
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 20

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

Physical Therapist
2200 N SECTION ST
SULLIVAN, IN 47882
Clinic/Center
2200 N SECTION ST
SULLIVAN, IN 47882
Counselor (Mental Health)
2200 N SECTION ST
SULLIVAN, IN 47882
Nurse Practitioner (Family)
2200 N SECTION ST
SULLIVAN, IN 47882
Dietitian, Registered
2200 N SECTION ST
SULLIVAN, IN 47882
Registered Nurse
2200 N SECTION ST
SULLIVAN, IN 47882
Radiology (Diagnostic Radiology)
2200 N SECTION ST
SULLIVAN, IN 47882
Clinic/Center (Primary Care)
2200 N SECTION ST
SULLIVAN, IN 47882

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 Destiny Goldner's NPI number?

The NPI number for Destiny Goldner is 1619665767. It was assigned to this individual provider in the NPPES registry on April 26, 2023. The provider is also known as Destiny Fine.

Where is Destiny Goldner located?

Destiny Goldner practices at 2200 N Section St, Sullivan, IN 47882. The listed phone number is (812) 268-4311.

What is Destiny Goldner's specialty?

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

Is Destiny Goldner enrolled in Medicare?

Yes. Destiny Goldner 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 Destiny Goldner accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Destiny Goldner 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 Destiny Goldner was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.