AMY GOLDBERG – Mental Health Counselor, NPI 1922130087

Mental Health Counselor

AMY GOLDBERG is a healthcare provider. based in Lynnfield, Massachusetts. specializing in Mental Health Counselor. They hold a License No. 1029325 (MA). The NPI Number for AMY GOLDBERG is 1922130087

Main info

Female

Sole Proprietor

31 Years Of Experience

Accepts Medicare Assignment

Name

AMY GOLDBERG

NPI

1922130087

Phone

(781) 334-4049

Address

1011 MAIN ST

Enumeration Date

12 March 2007

Last Update Date

12 June 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

97892140000

Graduation Year

1995 (31 years ago)

PAC ID

5890927842

Group Practice PAC ID

1456455369

Professional Enrollment ID

I20140407001170

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience76

Completeness75

Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for AMY GOLDBERG

1011 MAIN ST
LYNNFIELD, MA 019401173
Phone: (781) 334-4049
Type: Mailing
800 CUMMINGS CTR STE 266T
BEVERLY, MA 019156172
Phone: (978) 921-1190
Type: Location
4445 CORPORATION LN STE 264
VA BEACH, VA 234623671
Phone: (804) 460-9670
Type: Mailing
4445 CORPORATION LN
VA BEACH, VA 234623262
Phone: (434) 205-1527
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20240827003264	I	Clinical Social Worker	VA	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
90837	Psychotherapy, 1 hour	492	18	$0

View full utilization report →

Insurance plans in this area (ZIP 01940)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1456455369View full group profile

Name	Specialty	State
DR. JONATHAN MARK INZ (PH.D.)	-	MA
DR. JACLIN GERSTEL-FRIEDMAN (PHD)	-	MA
SUZANNE J KUHL (LICSW)	-	IA
THERESA ANN ELVIDGE (LICSW)	-	MA
RYAN J GRIFFIN (R.N., N.P.)	Nurse Practitioner	MA
MR. BLAIR E SMITH (MSW, LICSW)	-	MA