Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396617866 Individual Practitioner Male Practitioner

Jake Goldberg

Peer Specialist • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Jake Goldberg is a registered healthcare professional specializing in Peer Specialist in Cincinnati, OH. Practice services are available at 12115 SHERATON LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12115 Sheraton Ln

Cincinnati, OH 452461613

Telephone 5135404750
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Cincinnati, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
259 Specialists

Practicing in Cincinnati, OH (3139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-23
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS.006545

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Greg Olsen

Counselor - Addiction (Substance Use Disorder)

NPI 1104757673
Skyler Fontaine , LCDC III

Counselor - Addiction (Substance Use Disorder)

NPI 1164054342

LCDCIII

Margaret Herrle , QMHS

Peer Specialist

NPI 1437745973
Melinda Caudill , PRS, CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1649127424

PRS, Chemical Dependency Counselor Assistant

Tiffany Tucker , CPRS, CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1922713783

CPRS, Chemical Dependency Counselor Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 23, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2025

Registered at 12115 SHERATON LN, CINCINNATI, OH 452461613 (Tel: 5135404750)

📍
Updated Business Mailing Address September 23, 2025

Registered at 12115 SHERATON LN, CINCINNATI, OH 452461613 (Tel: 5135404750)

👤
Provider Name / Credentials Updated September 23, 2025

Recorded as JAKE GOLDBERG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2025

Peer Specialist (License #APS.006545 in OH)

🟢
Initial NPI Registration & Enumeration September 23, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396617866
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2025
Last Update: September 23, 2025
Sole Proprietor: No

Mailing Address

12115 Sheraton Ln

Cincinnati, OH 452461613

Phone: 5135404750

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.