Kenneth Kriss Goodrow II, MS, LPCC, NCC, CCMHC
NPI 1932200417ActiveIndividual· Community/Behavioral Health· Corrales, NM
Community/Behavioral Health (MS, LPCC, NCC, CCMHC) in Corrales, New Mexico, licensed in NM, with an NPI issued in September 2006. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1932200417 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, LPCC, NCC, CCMHC |
| Sole proprietor | Yes |
| NPI issued | Sep 26, 2006 |
| Last updated in NPPES | Nov 14, 2024 |
| Certified by provider | Nov 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Behavioral Health Primary | 251S00000X | 0078151 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NM) |
|---|
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
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