Organization Active NPI

Goal Line Health, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1669303111
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 17, 2026

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.