Active NPI
Goal Line Health, LLC
- Community/Behavioral Health Agency
- Durham, NC
National Provider Identifier
1669303111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GOAL LINE HEALTH, LLC
- Practice address
- 3511 Shannon Rd Ste 358
Durham, NC 27707-6330 - Phone
- (919) 928-4204
- NPI assigned
- May 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Lloyd Baugham
- Title
- QP
- Phone
- (336) 471-0149
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Peer Specialist | 175T00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3511 Shannon Rd Ste 358
Durham, NC 27707-6330
Mailing address
3511 Shannon Rd Ste 358
Durham, NC 27707-6330
Phone (919) 928-4204
National Provider Directory
National Provider DirectoryLocations
3511 Shannon Rd
Ste 358
Durham, NC 27707
Phone (919) 928-4204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1669303111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 SHANNON RD STE 358",
"city": "DURHAM",
"state": "NC",
"postal_code": "277076330",
"telephone_number": "919-928-4204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3511 SHANNON RD STE 358",
"city": "DURHAM",
"state": "NC",
"postal_code": "277076330",
"telephone_number": "919-928-4204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOAL LINE HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-26",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A",
"authorized_official_last_name": "BAUGHAM",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "LLOYD",
"authorized_official_title_or_position": "QP",
"authorized_official_telephone_number": "336-471-0149"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.