Organization Active NPI

Coffman Wellness LLC

  • Adult Mental Health Clinic/Center
  • Tulsa, OK
National Provider Identifier
1043979917
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
COFFMAN WELLNESS LLC
Practice address
8516 E 101St St Ste E
Tulsa, OK 74133-7035
Phone
(918) 519-8657
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Joy Coffman, MHR, LPCNPI 1235637620
Title
Owner
Phone
(918) 519-8657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

8516 E 101St St Ste E
Tulsa, OK 74133-7035

Mailing address

8516 E 101St St Ste E
Tulsa, OK 74133-7035
Phone (918) 519-8657

National Provider Directory

National Provider Directory

Locations

8516 E 101st St
Ste E
Tulsa, OK 74133
Phone (918) 852-1286

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1043979917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 E 101ST ST STE E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337035",
            "telephone_number": "918-519-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8516 E 101ST ST STE E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337035",
            "telephone_number": "918-519-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFMAN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-519-8657",
        "authorized_official_credential": "MHR, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.