Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Goldstein

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902212582

Jacob Goldstein is an Addiction (Substance Use Disorder) Counselor in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014
Specialties on file
2

Practice location Address checks out

2506 Willowbrook Pkwy
Indianapolis, IN 46205-1564
Phone: (765) 288-1928
Fax: (317) 217-1769
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34006843A (IN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 87000403A (IN)

Record details

NPI number1902212582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 3, 2014
Last updated in NPPESJune 8, 2015

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