Individual provider Active NPI

Caroline Goggins, LMHC

  • Mental Health Counselor
  • Daytona Beach, FL
National Provider Identifier
1417719030
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH27565 Issued in FL
Practice address
1737 N Clyde Morris Blvd Ste 140
Daytona Beach, FL 32117-5534
Phone
(386) 262-1627
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH27565 FL Primary

Addresses

Primary practice location

1737 N Clyde Morris Blvd Ste 140
Daytona Beach, FL 32117-5534

Mailing address

1737 N Clyde Morris Blvd Ste 140
Daytona Beach, FL 32117-5534
Phone (386) 262-1627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20260507000571 FL Practitioner - Mental Health Counselor 1557839669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4310 Metro Pkwy
Fort Myers, FL 33916-7952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH27565FLMDMental Health Counselor

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": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1417719030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 N CLYDE MORRIS BLVD STE 140",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175534",
            "telephone_number": "386-262-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 N CLYDE MORRIS BLVD STE 140",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175534",
            "telephone_number": "386-262-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGGINS",
        "first_name": "CAROLINE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH27565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.