Individual provider Active NPI

Audrea Goff, LMFT

  • Marriage & Family Therapist
  • Chattanooga, TN
National Provider Identifier
1881167310
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1687 Issued in TN
Practice address
6110 Shallowford Rd Ste B
Chattanooga, TN 37421-1894
Phone
(888) 291-4357
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1687 TN Primary

Addresses

Primary practice location

6110 Shallowford Rd Ste B
Chattanooga, TN 37421-1894

Mailing address

1921 Ransom PL
Nashville, TN 37217-3841
Phone (888) 291-4357

Other practice location 1

2400 White Ave
Nashville, TN 37204-2235
Phone (615) 460-4200

Other practice location 2

102 Betsy Pack Dr
Jasper, TN 37347-3523
Phone (423) 942-1146

Other practice location 3

3917 Volunteer Dr
Chattanooga, TN 37416-3876
Phone (423) 682-9954

Other practice location 4

2306 Guthrie Ave NW
Cleveland, TN 37311-3648
Phone (423) 476-3799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116001717 TN Practitioner - Marriage and Family Therapist 5890147839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1881167310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 RANSOM PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372173841",
            "telephone_number": "888-291-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 SHALLOWFORD RD STE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211894",
            "telephone_number": "888-291-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 White Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372042235",
            "country_code": "US",
            "telephone_number": "615-460-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Betsy Pack Dr",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TN",
            "postal_code": "373473523",
            "country_code": "US",
            "telephone_number": "423-942-1146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3917 Volunteer Dr",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374163876",
            "country_code": "US",
            "telephone_number": "423-682-9954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2306 Guthrie Ave NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373113648",
            "country_code": "US",
            "telephone_number": "423-476-3799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOFF",
        "first_name": "AUDREA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2024-01-11",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.