Mary McLain Godin, MA, LPA, LPC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4801-LPC Issued in NC

Practice address

16581 US Hwy 17 N
Suite 600
Hampstead, NC 28443-7451

Phone

(910) 270-9995

Fax

(910) 270-9905

NPI assigned

Dec 16, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anchor Psychological and Counseling Services PLLCGroup PAC ID 7517096290, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.godin@direct.anchorpsychological.nchie.net

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.

• Anchor Psychological & Counseling Services PLLC

  • Clinical Psychologist
  • Hampstead, NC
  • NPI 1114124401

  Clinical, NC

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1962488403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16581 US HWY 17 N",
            "address_2": "SUITE 600",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284437451",
            "telephone_number": "910-270-9995",
            "fax_number": "910-270-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16581 US HWY 17 N",
            "address_2": "SUITE 600",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284437451",
            "telephone_number": "910-270-9995",
            "fax_number": "910-270-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODIN",
        "first_name": "MARY",
        "middle_name": "MCLAIN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2335",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4801-LPC",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2335-LPA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107097",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shyam Lal Garg, M.D.
• Patricia Ann Geel, MA, LMFT
• Adrianne Lynn Geisler, MS OTR/L
• James Edward Gerosa, DPT
• Jamie Michelle Claus Getz, PHD, LCMHC
• Goshen Medical Center Incorporated
• GPN Express Enterprise LLC
• Rachel Leigh Graham
• Sara Robertson Graham, LCSW
• Whitney Graves

• Clinical Psychologist in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.