Kimberly Goston, APC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009679 Issued in GA

Practice address

14B Greenville St Ste B3
Newnan, GA 30263-2654

Phone

(470) 980-6816

NPI assigned

Feb 4, 2025

Last updated

Jun 18, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Redjasmine, LLC

  dba Sea Glass Therapy

  • Professional Counselor
  • Newnan, GA
  • NPI 1902463334

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1649084146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14B GREENVILLE ST STE B3",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632654",
            "telephone_number": "470-980-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14B GREENVILLE ST STE B3",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632654",
            "telephone_number": "470-980-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSTON",
        "first_name": "KIMBERLY",
        "credential": "APC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "009679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ashley Golladay
• Matthew Dale Goode, D.C.
• Shar Alycia Goolsby, LPC
• Anabel Harley Gordon Fortier
• Makala Raven Gore, PA
• Vanessa N. Goyes Ruiz, M.D.
• Embree Danielle Grable
• Grace Harbour Inc. Behavioral Health
• Grace Harbour, Inc.
• Bracy B Graham II, CRNA

• Mental Health Counselor in Newnan, GA
• Providers in Newnan, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.