Individual provider Active NPI

Michelle Elizabeth Goodwin, M.A., LMHC

  • Mental Health Counselor
  • Plymouth, MA
National Provider Identifier
1619135910
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7406 Issued in MA
Practice address
6 Resnik Rd Ste 207
Plymouth, MA 02360-5381
Phone
(508) 591-0221
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7406 MA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

6 Resnik Rd Ste 207
Plymouth, MA 02360-5381

Mailing address

6 Resnik Rd Ste 207
Plymouth, MA 02360-5381
Phone (508) 591-0221

Other practice location 1

1 Washington St
Taunton, MA 02780-3960
Phone (508) 828-9116 ext. 564

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7406MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Solace Counseling CurrentSince Mar 4, 2021 Accepting new patients

Locations

6 Resnik Rd
Ste 207
Plymouth, MA 02360
Phone (508) 591-0221

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1619135910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RESNIK RD STE 207",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023605381",
            "telephone_number": "508-591-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 RESNIK RD STE 207",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023605381",
            "telephone_number": "508-591-0221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Washington St",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027803960",
            "country_code": "US",
            "telephone_number": "508-828-9116 x564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "credential": "M.A., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7406",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.