JAKE GOLDBERG
NPI 1396617866
Peer Specialist in Cincinnati, OH

Active since September 23, 2025
12115 SHERATON LN, CINCINNATI, OH 45246(513) 540-4750 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jake Goldberg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE GOLDBERG (NPI 1396617866) is an individual peer specialist in Cincinnati, Ohio, licensed in Ohio (APS.006545) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1396617866
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJAKE GOLDBERG
Location Address12115 SHERATON LNCincinnati, OH 45246-1613
Mailing Address12115 Sheraton LnCincinnati, OH 45246-1613 · (513) 540-4750
Sole ProprietorNo
Enumeration DateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
NPI 1396617866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OH · APS.006545
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
12115 SHERATON LN, Cincinnati, OH 45246

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
12115 SHERATON LN
CINCINNATI, OH 45246
Counselor (Addiction (Substance Use Disorder))
12115 SHERATON LN
CINCINNATI, OH 45246
Physical Therapist
12115 SHERATON LN
CINCINNATI, OH 45246
Counselor (Addiction (Substance Use Disorder))
12115 SHERATON LN
CINCINNATI, OH 45246
Counselor (Addiction (Substance Use Disorder))
12115 SHERATON LN
CINCINNATI, OH 45246
Physical Therapist
12115 SHERATON LN
CINCINNATI, OH 45246
Counselor (Addiction (Substance Use Disorder))
12115 SHERATON LN
CINCINNATI, OH 45246
Counselor (Addiction (Substance Use Disorder))
12115 SHERATON LN
CINCINNATI, OH 45246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Goldberg's NPI number?

The NPI number for Jake Goldberg is 1396617866. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Jake Goldberg located?

Jake Goldberg practices at 12115 Sheraton Ln, Cincinnati, OH 45246. The listed phone number is (513) 540-4750.

What is Jake Goldberg's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jake Goldberg was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.