Individual provider Active NPI

Kristi Brynt Godwin, LMFT

  • Marriage & Family Therapist
  • Valdosta, GA
National Provider Identifier
1649887431
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001149 Issued in GA
Practice address
4457 Kenilworth Cir
Valdosta, GA 31605-8018
Phone
(229) 237-0036
NPI assigned
Sep 25, 2020
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001149 GA Primary

Addresses

Primary practice location

4457 Kenilworth Cir
Valdosta, GA 31605-8018

Mailing address

4457 Kenilworth Cir
Valdosta, GA 31605-8018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240328000374 GA Practitioner - Marriage and Family Therapist 3072950898 Reassigns benefits to 2 organizations
I20241114002308 FL Practitioner - Marriage and Family Therapist 3072950898 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT001149GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Care Center LLC Multi-Specialty CurrentSince Jan 3, 2024 Accepting new patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince Oct 8, 2024 Accepting new patients
Kristi Godwin Therapy Services, LLC Multi-Specialty Current Accepting new patients
Turning Point Care Center LLC CurrentSince Jan 3, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

3015 Veterans Pkwy S
Moultrie, GA 31788
Phone (229) 873-6479

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1649887431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4457 KENILWORTH CIR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316058018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4457 KENILWORTH CIR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316058018",
            "telephone_number": "229-237-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "KRISTI",
        "middle_name": "BRYNT",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.