1. Home
  2. Directory
  3. Virginia
  4. Suffolk
  5. Counselor
  6. NPI Profile

COURTNEY NICOLE GOOLSBY
NPI 1720419872
Counselor - Professional in Suffolk, VA

Active since November 27, 2013PECOS Enrolled
5268 GODWIN BLVD, SUFFOLK, VA 23434(757) 255-7117(757) 255-7139 Get Directions Write a Review

NPPES record last updated: April 13, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Courtney Nicole Goolsby NPPES

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

COURTNEY NICOLE GOOLSBY (NPI 1720419872) is an individual professional provider in Suffolk, Virginia, licensed in Virginia (0701007081) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720419872
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCOURTNEY NICOLE GOOLSBY
Location Address5268 GODWIN BLVDSuffolk, VA 23434-8114
Mailing Address310 Wildlife TrceChesapeake, VA 23320-7014 · (904) 449-6185
Phone(757) 255-7117
Fax(757) 255-7139
Sole ProprietorNo
Enumeration DateNovember 27, 2013
Last NPPES UpdateApril 13, 2017
✔ NPI 1720419872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701007081
Also ListedDevelopmental TherapistTaxonomy 222Q00000X
5268 GODWIN BLVD, Suffolk, VA 23434
Open in Google Maps ↗

Other Names 1

Professional Name (2)Courtney Nicole Goolsby Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Nicole Goolsby is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Courtney Goolsby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Tidewater Community Mental
9.2 mi
Mental Health (Including Community Mental Health Center)
7025 HARBOUR VIEW BLVD STE 119
Suffolk, VA 23435
  • Reassigned Medicare billing, Virginia enrollment
  • 76 clinicians in this Medicare group
NPI 1689615296 (757) 966-2805

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

LUCIANNE W WARREN LCSW
Counselor (Mental Health)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7117
DR. SHERONDA FARROW PH.D.
Psychologist (Clinical)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7113
MISS SHACONDA LARECE HOLLOWAY L.C.S.W.
Social Worker (Clinical)
5268 GODWIN BLVD, WESTERN TIDEWATER MENTAL HEALTH
SUFFOLK, VA 23434
Suffolk City (757) 255-7117
WESTERN TIDEWATER COMMUNITY SERVICES BOARD
Clinic/Center (Adolescent and Children Mental Health)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7100
WESTERN TIDEWATER COMMUNITY MENTAL
Non-emergency Medical Transport (VAN)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7117
MR. DEMETRIOS N PERATSAKIS PD, MS, LPC
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7126
TIFFANY FOX, FOX
Social Worker (Clinical)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7133
BERNADETTE DENISE WARD LPC
Counselor (Professional)
5268 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 255-7107

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 Courtney Goolsby's NPI number?

The NPI number for Courtney Goolsby is 1720419872. It was assigned to this individual provider in the NPPES registry on November 27, 2013. The provider is also known as Courtney Nicole Goolsby Lpc.

Where is Courtney Goolsby located?

Courtney Goolsby practices at 5268 Godwin Blvd, Suffolk, VA 23434. The listed phone number is (757) 255-7117.

What is Courtney Goolsby's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Courtney Goolsby enrolled in Medicare?

Yes. Courtney Goolsby is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Courtney Goolsby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Goolsby reassigns Medicare benefits to Western Tidewater Community Mental (Suffolk, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Goolsby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Goolsby accept?

Health plans from Oscar Health list Courtney Goolsby 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 Courtney Goolsby was last updated on April 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.