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MR. KENNETH KRISS GOODROW II MS, LPCC, NCC, CCMHC
NPI 1932200417
Community/Behavioral Health in Corrales, NM

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
3949 CORRALES RD STE 105, CORRALES, NM 87048(505) 239-7459(505) 899-4060 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2024, Aug 8, 2018 (2 updates tracked since 2018).

About Mr. Kenneth Kriss Goodrow Ii Ms, Lpcc, Ncc, Ccmhc NPPES

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

MR. KENNETH KRISS GOODROW II MS, LPCC, NCC, CCMHC (NPI 1932200417) is an individual community/behavioral health provider in Corrales, New Mexico, licensed in New Mexico (0078151) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1932200417
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameMR. KENNETH KRISS GOODROW IICredential: MS, LPCC, NCC, CCMHC
Location Address3949 CORRALES RD STE 105Corrales, NM 87048-9347
Mailing Address4101 Corrales Rd Unit 520Corrales, NM 87048-4020 · (505) 239-7459 · Fax (505) 899-4060
Phone(505) 239-7459
Fax(505) 899-4060
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 26, 2006
Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1932200417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NM · 0078151
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3949 CORRALES RD STE 105, Corrales, NM 87048
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Other Identifiers 1

Medicaid09881522NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

Mr. Kenneth Kriss Goodrow Ii Ms, Lpcc, Ncc, Ccmhc 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 ID9537697438
PECOS Enrollment IDI20250106002075
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 3

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

VERONICA DARLENE REEDER LPCC
Counselor (Professional)
3949 CORRALES RD STE 105
CORRALES, NM 87048
Sandoval County (505) 273-6300
NICOLE DANIELLE MANSOUR FNP-BC
Nurse Practitioner (Family)
3949 CORRALES RD STE 105
CORRALES, NM 87048
Sandoval County (949) 820-1743
AMERICAS HEALTH AND WELLNESS LLC
Nurse Practitioner (Family)
3949 CORRALES RD STE 105
CORRALES, NM 87048
Sandoval County (949) 820-1743

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 Kenneth Goodrow's NPI number?

The NPI number for Kenneth Goodrow is 1932200417. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Kenneth Goodrow located?

Kenneth Goodrow practices at 3949 Corrales Rd Ste 105, Corrales, NM 87048. The listed phone number is (505) 239-7459.

What is Kenneth Goodrow's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Kenneth Goodrow enrolled in Medicare?

Yes. Kenneth Goodrow 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 Kenneth Goodrow accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Kenneth Goodrow 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 Kenneth Goodrow was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.