Kristy Teresa Godwin, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

13603 Mary Bowie Pkwy
Upper Marlboro, MD 20774-9075

Phone

(443) 898-8282

Fax

(443) 898-8130

NPI assigned

Dec 10, 2018

Reactivated

Jul 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Building Blocks Healthcare Network LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1063074839
  Medicare reassignment NPD (past) Authorized official
• Building Blocks Healthcare Network LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1174289482
  NPD (past) Authorized official
• Building Blocks Healthcare Network LLC

  • Mental Health Counselor
  • Upper Marlboro, MD
  • NPI 1295398154
  NPD (past) Authorized official
• Building Blocks Healthcare Network LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1326600792
  NPD (past) Authorized official

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1922579481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13603 MARY BOWIE PKWY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749075",
            "telephone_number": "443-651-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13603 MARY BOWIE PKWY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749075",
            "telephone_number": "443-898-8282",
            "fax_number": "443-898-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "KRISTY",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "deactivation_date": "2019-05-23",
        "reactivation_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Glicksman, M.D.
• Glorious Growth Health Care
• Go Stretch
• God'S House International Foundation
• Jeanelle Godsey, OTR/L
• Golden Heart Healthcare Services, LLC
• Golden Sunset Services, Inc.
• Golden Warmth Behavioral Health
• Jamaal Devane Gooding
• Timika Shante Goodson, FNP-C, PMHNP-BC

• Mental Health Counselor in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.