KRISTINE GOODROE – Professional Counselor, NPI 1245621853

KRISTINE GOODROE is a healthcare provider. based in West branch, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 6401012384 (MI). The NPI Number for KRISTINE GOODROE is 1245621853

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE GOODROE
NPI
1245621853
Phone
(989) 390-4786
Address
335 E HOUGHTON AVE
Enumeration Date
18 February 2015
Last Update Date
18 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9893121800
Graduation Year
2009 (17 years ago)
PAC ID
4183068968
Group Practice PAC ID
2668847278
Professional Enrollment ID
I20240220003411
Address ID
MI486519700PR3386XDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for KRISTINE GOODROE

  • 335 E HOUGHTON AVE

    WEST BRANCH, MI 486611127

    Phone: (989) 390-4786

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240220003411IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48661)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668847278View full group profile
NameSpecialtyState
Nurse PractitionerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is the standard ID for KRISTINE GOODROE in the U.S.?
In the U.S., KRISTINE GOODROE is identified by NPI 1245621853.
Does the public listing show KRISTINE GOODROE as active?
KRISTINE GOODROE's NPI record reflects an active status in NPPES.
What does the directory say KRISTINE GOODROE does?
Insurance directories may phrase it differently, but here KRISTINE GOODROE maps to Professional Counselor. Clinical services aligned with this taxonomy classification.
Is KRISTINE GOODROE tied to West Branch, Michigan?
If you are local to West Branch, Michigan, KRISTINE GOODROE may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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