Active NPI
Barrylee Coyne, LCSW
- Mental Health Counselor
- Albany, OR
National Provider Identifier
1003942327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- L3041
- Practice address
- 425 2ND Ave SW Ste 102
Albany, OR 97321-2483 - Phone
- (541) 286-3209
- Fax
- (541) 704-0040
- NPI assigned
- Feb 23, 2007
- Last updated
- Mar 31, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | L3041 | OR | Primary |
Addresses
Primary practice location
425 2ND Ave SW Ste 102
Albany, OR 97321-2483
Mailing address
425 2ND Ave SW
Ste 102
Albany, OR 97321-2483
Phone (541) 286-3209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reclaim Life, LLC | Current | Accepting new patients | |
| County of Polk | Past | Accepting new patients |
Locations
425 2nd Ave SW
Ste 102
Albany, OR 97321
Phone (541) 286-3209
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Albany, OR
- NPI 1043788896
-
- State or Local Public Health Clinic/Center
- Dallas, OR
- NPI 1710910781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1003942327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 2ND AVE SW",
"address_2": "STE 102",
"city": "ALBANY",
"state": "OR",
"postal_code": "973212483",
"telephone_number": "541-286-3209",
"fax_number": "541-704-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 2ND AVE SW STE 102",
"city": "ALBANY",
"state": "OR",
"postal_code": "973212483",
"telephone_number": "541-286-3209",
"fax_number": "541-704-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYNE",
"first_name": "BARRYLEE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "L3041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, OR
- County of Linn
- County of Linn (Linn County Public Health)
- Madeleine Ruth Courvoisier, PA-C
- Brad Preston Cox, MOT, OTR/L
- Jennifer Cox, PHARMD
- Kea Michelle Crandall, MD
- Leona D Crawford, RN
- CRC Health Oregon, LLC
- CRC Health Oregon, LLC (Albany Comprehensive Treatment Center)
- Creating Housing Coalition
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.