Organization Active NPI

Goodwin Counseling and Wellness, PLLC

  • Community/Behavioral Health Agency
  • Decatur, IL
National Provider Identifier
1376450296
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GOODWIN COUNSELING AND WELLNESS, PLLC
Practice address
90 Montgomery PL
Decatur, IL 62522-2654
Phone
(262) 309-5821
NPI assigned
Aug 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Robert Lesley Goodwin, LCPC
Title
Manager/Counselor
Phone
(262) 309-5821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

90 Montgomery PL
Decatur, IL 62522-2654

Mailing address

90 Montgomery PL
Decatur, IL 62522-2654
Phone (262) 309-5821

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1376450296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MONTGOMERY PL",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625222654",
            "telephone_number": "262-309-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MONTGOMERY PL",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625222654",
            "telephone_number": "262-309-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN COUNSELING AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LESLEY",
        "authorized_official_title_or_position": "MANAGER/COUNSELOR",
        "authorized_official_telephone_number": "262-309-5821",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.