Individual provider Active NPI

Rachelle Goodwin, M.A., LPC, LCDC-I

  • Mental Health Counselor
  • Pearland, TX
National Provider Identifier
1841928413
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
81686 Issued in TX
Practice address
2743 Smith Ranch Rd Unit 101
Pearland, TX 77584-5205
Phone
(281) 778-9529
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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 81686 TX Primary

Addresses

Primary practice location

2743 Smith Ranch Rd Unit 101
Pearland, TX 77584-5205

Mailing address

501 N Sarah Deel Dr Apt 833
Webster, TX 77598-2656
Phone (210) 232-1030

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
I20240111001107 TX Practitioner - Mental Health Counselor 6204287592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Resilience Center of Houston LLCGroup PAC ID 6305131517, 51 clinicians

Practice addresses (Care Compare)

8665 New Trails Dr
Suite 185
The Woodlands, TX 77381-4272
Phone (346) 206-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
81686TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Resilience Center of Houston, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

14930 Mueschke Rd
Ste 100
Cypress, TX 77433
Phone (713) 826-8150

13333 Dotson Rd
Ste 160
Houston, TX 77070
Phone (349) 206-3992

12234 Shadow Creek Pkwy
Bldg 10
Pearland, TX 77584
Phone (737) 241-8677

8665 New Trails Dr
Ste 185
The Woodlands, TX 77381

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, 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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1841928413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N SARAH DEEL DR APT 833",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775982656",
            "telephone_number": "210-232-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 SMITH RANCH RD UNIT 101",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845205",
            "telephone_number": "281-778-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "RACHELLE",
        "credential": "M.A., LPC, LCDC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.