Individual provider Active NPI

Kelly Denise Godwin, LPC

  • Professional Counselor
  • Conroe, TX
National Provider Identifier
1699628198
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
89127 Issued in TX
Practice address
233 SGT Ed Holcomb Blvd S
Conroe, TX 77304-1990
Phone
(936) 521-6100
NPI assigned
Feb 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 89127 TX Primary

Addresses

Primary practice location

233 SGT Ed Holcomb Blvd S
Conroe, TX 77304-1990

Mailing address

PO Box 3067
Conroe, TX 77305-3067
Phone (936) 521-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260310004902 TX Practitioner - Mental Health Counselor 0042793804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 3067
Conroe, TX 77305-3067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89127TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Behavioral Healthcare CurrentSince Feb 16, 2026 Accepting new patients

Locations

233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151

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": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1699628198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3067",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773053067",
            "telephone_number": "936-521-6100",
            "fax_number": "936-521-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 SGT ED HOLCOMB BLVD S",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041990",
            "telephone_number": "936-521-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "KELLY",
        "middle_name": "DENISE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.