Jennifer Anne Golia

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

208 Issued in NH

Practice address

240 Islington St
Portsmouth, NH 03801-7237

Phone

(603) 953-3386

Fax

(603) 953-3386

NPI assigned

Apr 1, 2008

Last updated

May 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 6, 2025 through Jan 6, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jennifer Golia LMFT PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portsmouth, NH
  • NPI 1083123525
  NPD Authorized official
• Evergreen Pathways Psychotherapy Services, LLC

  • Marriage & Family Therapist
  • Dover, NH
  • NPI 1689486581
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1003088956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILL ST UNIT 317",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204563",
            "telephone_number": "603-953-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ISLINGTON ST",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017237",
            "telephone_number": "603-953-3386",
            "fax_number": "603-953-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLIA",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NH",
            "license": "208",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99003227",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHN",
            "identifier": "7706655Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen E Goldberg, PT
• Warren Goldblatt, M.D.
• Sarah Goldman
• Benjamin Fulmer Goldrich, MSW
• Joshua Goldsmith, DO
• Julie Johnston Golkowski, LCMHC
• Anath Chana Golomb, PH.D.
• Jennifer Gonchar, PT, DPT
• Terry Goodwill
• Goodwin Community Health (Families First Health & Support Center)

• Marriage & Family Therapist in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Marriage & Family Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.