Individual provider Active NPI

Melissa Ragsdale Goodwin, LPC

  • Professional Counselor
  • Roswell, GA
National Provider Identifier
1013060565
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004005 Issued in GA
Practice address
601 Bombay LN
Roswell, GA 30076-5828
Phone
(770) 262-2080
Fax
(770) 754-4676
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC004005 GA Primary

Addresses

Primary practice location

601 Bombay LN
Roswell, GA 30076-5828

Mailing address

5535 Shepherds Pond
Alpharetta, GA 30004-7798
Phone (770) 262-2080

Other identifiers 1

IdentifierTypeStateIssuer
670176370AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC004005GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Recovery Group Inc Current Accepting new patients

Locations

601 Bombay Ln
Roswell, GA 30076
Phone (404) 576-8454

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1013060565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 SHEPHERDS POND",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047798",
            "telephone_number": "770-262-2080",
            "fax_number": "866-869-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765828",
            "telephone_number": "770-262-2080",
            "fax_number": "770-754-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MELISSA",
        "middle_name": "RAGSDALE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670176370A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.