NPIMap

Organization Active NPI

Goshen Valley Foundation Inc

  • Foster Care Agency
  • Waleska, GA
National Provider Identifier
1851842728
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
LPC005044 Issued in GA
Legal business name
GOSHEN VALLEY FOUNDATION INC
Practice address
387 Goshen Church Way
Waleska, GA 30183
Phone
(770) 833-1055
Fax
(866) 736-8577
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Jenny M Wood, LPC
Title
Executive Director
Phone
(770) 833-1055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X LPC005044 GA Primary

Addresses

Primary practice location

387 Goshen Church Way
Waleska, GA 30183

Mailing address

387 Goshen Church Way
Waleska, GA 30183
Phone (770) 833-1055

National Provider Directory

National Provider Directory
Tax ID family
Goshen Valley Foundation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1851842728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 GOSHEN CHURCH WAY",
            "city": "WALESKA",
            "state": "GA",
            "postal_code": "30183",
            "telephone_number": "770-833-1055",
            "fax_number": "866-736-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 GOSHEN CHURCH WAY",
            "city": "WALESKA",
            "state": "GA",
            "postal_code": "30183",
            "telephone_number": "770-833-1055",
            "fax_number": "866-736-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN VALLEY FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-833-1055",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "GA",
            "license": "LPC005044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waleska, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.