Kristin Goodwin, LPC

Individual provider Active NPI Professional Counselor · Danielson, CT

NPI 1144829532 · NPPES record last updated Oct 18, 2020

Key facts

NPI
1144829532
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
239 Main St
Danielson, CT 06239-2816
Phone
(860) 315-3085
NPI assigned
Oct 18, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X Yes

Addresses

Primary practice location

239 Main St
Danielson, CT 06239-2816

Mailing address

239 Main St
Danielson, CT 06239-2816

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Danielson

Other providers in Danielson, CT

All providers in Danielson, CT · Professional Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.