Active NPI
Jamie Lee Goldberg, LPC
- Professional Counselor
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC016040
- Practice address
- 2862 Johnson Ferry Rd Ste 150
Marietta, GA 30062-8344 - Phone
- (770) 361-7864
- NPI assigned
- Jul 5, 2011
- Last updated
- Oct 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC016040 | GA | Primary |
Addresses
Primary practice location
2862 Johnson Ferry Rd Ste 150
Marietta, GA 30062-8344
Mailing address
2862 Johnson Ferry Rd Ste 150
Marietta, GA 30062-8344
Phone (678) 662-8830
Other names 1
- Ms. Jamie Lee Goldberg
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2876 Johnson Ferry Rd
Suite 150
Marietta, GA 30062-8324
Phone (770) 361-7864
4307 Gretna CT NW
Kennesaw, GA 30152-7701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC016040 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlimited Performance Corp | Current | Accepting new patients |
Locations
2862 Johnson Ferry Rd
Ste 150
Marietta, GA 30062
Phone (770) 361-7864
2876 Johnson Ferry Rd
Ste 150
Marietta, GA 30062
Phone (770) 361-7864
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Marietta, GA
- NPI 1235486903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1841587490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2862 JOHNSON FERRY RD STE 150",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300628344",
"telephone_number": "678-662-8830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2862 JOHNSON FERRY RD STE 150",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300628344",
"telephone_number": "770-361-7864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "JAMIE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC016040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "GOLDBERG",
"middle_name": "LEE",
"prefix": "MS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.