Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory Nicole Goodwin, LPC

Individual provider Professional Counselor · NPI 1013721612

Mallory Nicole Goodwin, LPC is a Mental Health Counselor in Fort Worth, Texas. Qualified in 2023, 3 years ago. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3840 Hulen St
Fort Worth, TX 76107-7277
Phone: (817) 335-3022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 93276 (TX)

Record details

NPI number1013721612
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedFebruary 4, 2025
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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