MICHELE GOLDBERG LMFT, JD - NPI 1639615164 - Marriage & Family Therapist in Los Angeles, CA

Q: What is Michele Goldberg's NPI number?

The NPI number for Michele Goldberg is 1639615164. It was assigned to this individual provider in the NPPES registry on January 8, 2017.

Q: What is Michele Goldberg's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Michele Goldberg enrolled in Medicare?

No. Michele Goldberg has opted out of Medicare through February 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Michele Goldberg was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

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About Michele Goldberg Lmft, Jd NPPES

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

MICHELE GOLDBERG LMFT, JD (NPI 1639615164) is an individual marriage & family therapist in Los Angeles, California, licensed in California (97528) and active in the NPI registry since January 2017. She has opted out of Medicare through February 29, 2028.

NPPES Registry Identity

NPI1639615164

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMICHELE GOLDBERGCredential: LMFT, JD

Location Address1555 W SUNSET BLVD UNIT CLos Angeles, CA 90026-3333

Mailing Address1555 W Sunset Blvd Unit CLos Angeles, CA 90026-3333 · (818) 631-3379

Phone(818) 631-3379

Sole ProprietorNo

Enumeration DateJanuary 8, 2017

Last NPPES UpdateAugust 29, 20192 updates tracked since enumeration

✔ NPI 1639615164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 97528

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1555 W SUNSET BLVD UNIT C, Los Angeles, CA 90026

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michele Goldberg Lmft, Jd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2024 through February 29, 2028.

Opt-Out Effective DateFebruary 28, 2024

Opt-Out In Effect ThroughFebruary 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

ECHO PARK CREATIVE PSYCHOLOGY, INC.

Clinic/Center (Mental Health (Including Community Mental Health Center))