Destiny Nicole Goldner, MS, LMHC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39005657A Issued in IN

Practice address

2200 N Section St
Sullivan, IN 47882-7523

Phone

(812) 268-4311

NPI assigned

Apr 26, 2023

Last updated

Sep 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Destiny Fine Former name

Medicare fee-for-service enrollment

Enrolled in IN

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sullivan County Community HospitalGroup PAC ID 2466497482, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sullivan County Community Hospital

  • Critical Access Hospital
  • Sullivan, IN
  • NPI 1497759260
  Medicare reassignment Care Compare group NPD
• Sullivan County Community Hospital

  • Critical Access Hospital Clinic/Center
  • Sullivan, IN
  • NPI 1487450698
  NPD
• Sullivan County Community Hospital

  • Primary Care Clinic/Center
  • Sullivan, IN
  • NPI 1700256948
  NPD

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1619665767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478820010",
            "telephone_number": "812-268-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N SECTION ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478827523",
            "telephone_number": "812-268-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2232 N Hospital Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "IN",
            "postal_code": "478827674",
            "country_code": "US",
            "telephone_number": "812-268-2562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDNER",
        "first_name": "DESTINY",
        "middle_name": "NICOLE",
        "credential": "MS, LMHC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005657A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINY",
            "last_name": "FINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Mae Ellsperman, DDS
• Emerald Health & Wellness LLC
• Van Evanoff Jr., M.D.
• Kevin Braun Flinn, NP
• Michelle D Gill, LPN
• Lynsey Grant
• Brian K Grindstaff, DC
• Caleb Hale
• Christina Hall, LMHC
• Danielle Hamilton, MS, NCC, LMHC

• Mental Health Counselor in Sullivan, IN
• Providers in Sullivan, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.