Individual provider Active NPI

Barrylee Coyne, LCSW

  • Mental Health Counselor
  • Albany, OR
National Provider Identifier
1003942327
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L3041 Issued in OR
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Reclaim Life, LLC CurrentSince Apr 6, 2021 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.

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

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.

Verify at the official NPI Registry.