Individual provider Active NPI

Shelly Goodson, LMHC

  • Mental Health Counselor
  • Royal Palm Beach, FL
National Provider Identifier
1619787116
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24664 Issued in FL
Practice address
10418 Pippin LN
Royal Palm Beach, FL 33411-3017
Phone
(954) 296-0700
NPI assigned
Jan 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 MH24664 FL Primary

Addresses

Primary practice location

10418 Pippin LN
Royal Palm Beach, FL 33411-3017

Mailing address

10418 Pippin LN
Royal Palm Beach, FL 33411-3017

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
I20250515000077 FL Practitioner - Mental Health Counselor 6204354137 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senior Living Memory Health IncGroup PAC ID 7517480577, 113 clinicians
Psywell LLCGroup PAC ID 5294277810, 6 clinicians

Practice addresses (Care Compare)

4201 Leo LN
Riviera Beach, FL 33410-6405
Phone (786) 414-6666

6803 Lake Worth Rd
Suite 215
Greenacres, FL 33467-2979
Phone (561) 207-7625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psywell, LLC Mental Health CurrentSince Aug 15, 2025 Accepting new patients
Senior Living Memory Health, Inc. CurrentSince Apr 22, 2025 Accepting new patients
Mtca Psychological Services P.a. CurrentSince Mar 9, 2025 Accepting new patients

Locations

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

2000 Lowson Blvd
Delray Beach, FL 33445
Phone (561) 454-2000

6803 Lake Worth Rd
Ste 215
Greenacres, FL 33467
Phone (561) 207-7625

6803 Lake Worth Rd
#215
Greenacres, FL 33467
Phone (561) 207-7625

16853 NE 2nd Ave
Ste 304
North Miami Beach, FL 33162
Phone (954) 907-1817

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

4201 Leo Ln
Riviera Beach, FL 33410
Phone (561) 841-0055

Organizations & group practices 3

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": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1619787116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10418 PIPPIN LN",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10418 PIPPIN LN",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113017",
            "telephone_number": "954-296-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "SHELLY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.