Kristine Goodroe

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012384 Issued in MI

Practice address

335 E Houghton Ave
West Branch, MI 48661-1127

Phone

(989) 390-4786

NPI assigned

Feb 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Balance Mental Health and Wellness PCGroup PAC ID 2668847278, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Balance Mental Health & Wellness PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prudenville, MI
  • NPI 1629797857
  Medicare reassignment Care Compare group NPD
• Sailor Health Medical PA

  • Psychologist
  • Coral Gables, FL
  • NPI 1841012960

  Counselor, MI

  Medicare reassignment Care Compare group NPD
• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Hillman, MI
  • NPI 1629107552
  Medicare reassignment NPD
• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Mio, MI
  • NPI 1750751392
  NPD

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1245621853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611127",
            "telephone_number": "989-390-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611127",
            "telephone_number": "989-390-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODROE",
        "first_name": "KRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jere D. Getzinger, CRNA
• GM Homecare
• Lynda Gail Goff
• Amanda Melissa Gomes, M.D.
• Good Health Home Medical Equipment LLC
• Lucas Ray Gordon
• Michele M Gouin, MSW, LMSW
• Barbara Graf, PA-C
• Autumn Grahl
• Great Lakes Bay Health Centers

• Professional Counselor in West Branch, MI
• Providers in West Branch, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.