Individual provider Active NPI

Wanda Vanessa Goss Goldthrip, LPC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1720887094
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009171 Issued in GA
Practice address
3716 Majestic Dr SW
Marietta, GA 30060-7540
Phone
(678) 557-0050
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC009171 GA Primary

Addresses

Primary practice location

3716 Majestic Dr SW
Marietta, GA 30060-7540

Mailing address

3716 Majestic Dr SW
Marietta, GA 30060-7540
Phone (678) 557-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC009171GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1720887094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 MAJESTIC DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607540",
            "telephone_number": "678-557-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 MAJESTIC DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607540",
            "telephone_number": "678-557-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDTHRIP",
        "first_name": "WANDA",
        "middle_name": "VANESSA GOSS",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.