Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Marina-Nicole Goodwine, LCMHC

Individual provider Professional Counselor · NPI 1508412750

Alyssa Marina-Nicole Goodwine, LCMHC is a Mental Health Counselor in Charlotte, North Carolina. Qualified in 2024, 2 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
2
Licensed in
NC, SC
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

405 Kings Crossing Dr
Charlotte, NC 28206-3870
Phone: (814) 528-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179 — (980) 302-8850

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 15027 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 8826 (SC)

Record details

NPI number1508412750
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedAugust 14, 2019
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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