Individual provider Active NPI

Jasmine Marie Gosha, LMFT

  • Marriage & Family Therapist
  • Covington, GA
National Provider Identifier
1578327573
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT002087 Issued in GA
Practice address
3155 Mill St NE
Covington, GA 30014-2542
Phone
(229) 255-7071
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT002087 GA Primary

Addresses

Primary practice location

3155 Mill St NE
Covington, GA 30014-2542

Mailing address

121 Southridge Dr
Griffin, GA 30224-5114
Phone (229) 255-7071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260224004631 GA Practitioner - Marriage and Family Therapist 4183105422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Mercer University School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

121 Southridge Dr
Griffin, GA 30224-5114

5975 Pkwy N Blvd
Suite 300D
Cumming, GA 30040-1226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT002087GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Forward Counseling and Consulting, Inc CurrentSince Feb 11, 2026 Accepting new patients

Locations

5975 Parkway North Blvd
Ste 300D
Cumming, GA 30040
Phone (404) 388-3909

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1578327573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SOUTHRIDGE DR",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302245114",
            "telephone_number": "229-255-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 MILL ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142542",
            "telephone_number": "229-255-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHA",
        "first_name": "JASMINE",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT002087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.