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

Nicole Goodwin, LPC

Individual provider Professional Counselor · NPI 1255163416

Nicole Goodwin, LPC is a Mental Health Counselor in Fredericktown, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Centerville Clinics, Inc, a 44-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2024
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1070 Old National Pike
Fredericktown, PA 15333-2114
Phone: (724) 632-6801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1255163416
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedAugust 16, 2024
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address1070 Old National Pike, Fredericktown, PA 15333-2114

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Centerville Clinics, Inc. — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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