Kelsey Marie Goodwin, MSW/ASW
Individual provider Active NPI Mental Health Counselor · Joshua Tree, CA
NPI 1710530985 · NPPES record last updated Sep 23, 2019
Key facts
- NPI
- 1710530985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 91223 (CA)
- Practice address
- 60805 29 Palms Hwy
Joshua Tree, CA 92252-5901 - Phone
- (760) 974-5990
- NPI assigned
- Jul 17, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91223 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Star Behavioral Health, Inc. | Past |
Accepting new patients | |
| Valley Star Behavioral Health, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 91223 | CA | Yes |
Addresses
Primary practice location
60805 29 Palms Hwy
Joshua Tree, CA 92252-5901
Mailing address
35294 Adams LN Apt F
Yucaipa, CA 92399-3857
Other providers in Joshua Tree, CA
- Betty Geiger
- Jai V Ghatnekar
- Kristina Lynn Gillam
- Patricia Anne Goffney
- Tara Gonzalez
- Renato Francisco Guzman
- Sung Phill Han
- HDMC Holdings, LLC
- HDMC Holdings, LLC
- HDMC Holdings, LLC
All providers in Joshua Tree, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.