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KELLY GOGGIN LCPC
NPI 1922455120
Counselor - Mental Health in Waukegan, IL

Active since May 17, 2016PECOS Enrolled
3010 GRAND AVE, WAUKEGAN, IL 60085(847) 377-8296(847) 984-5689 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2023, May 17, 2016 (2 updates tracked since 2016).

About Kelly Goggin Lcpc NPPES

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

KELLY GOGGIN LCPC (NPI 1922455120) is an individual mental health provider in Waukegan, Illinois, licensed in Illinois (180.010225) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922455120
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY GOGGINCredential: LCPC
Location Address3010 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3010 Grand AveWaukegan, IL 60085-2321 · (847) 377-8296 · Fax (847) 984-5689
Phone(847) 377-8296
Fax(847) 984-5689
Sole ProprietorNo
Enumeration DateMay 17, 2016
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1922455120 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 · 180.010225
3010 GRAND AVE, Waukegan, IL 60085
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Goggin Lcpc 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.

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.

LINDA METTS
Counselor (Addiction (Substance Use Disorder))
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-7847
MRS. PATRICE LOUISE CAMPBELL
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8120
MR. RAYMOND BERNARD MCQUEEN CADC
Counselor (Addiction (Substance Use Disorder))
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8296
EVELYN H CHOU NP
Nurse Practitioner (Family)
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8800
SINDY LORENA GUERRA BA
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8321
NYKESHIA SMITH
Counselor (Mental Health)
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8000
JANINE M PALL RN
Registered Nurse
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8122
VERNESSA STEPNEY
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8296

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 Kelly Goggin's NPI number?

The NPI number for Kelly Goggin is 1922455120. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Kelly Goggin located?

Kelly Goggin practices at 3010 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 377-8296.

What is Kelly Goggin's specialty?

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

Is Kelly Goggin enrolled in Medicare?

Yes. Kelly Goggin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Goggin was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.