Organization Active NPI

Jaime Coates Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berlin, MD
National Provider Identifier
1073008454
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JAIME COATES THERAPY SERVICES, LLC
Practice address
378 Schooner LN
Berlin, MD 21811-2685
Phone
(443) 783-3523
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Jaime Coates, LCPC, NCCNPI 1710248315
Title
Owner/Therapist
Phone
(443) 783-3523

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

378 Schooner LN
Berlin, MD 21811-2685

Mailing address

378 Schooner LN
Berlin, MD 21811-2685
Phone (443) 783-3523

National Provider Directory

National Provider Directory

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": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1073008454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 SCHOONER LN",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218112685",
            "telephone_number": "443-783-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 SCHOONER LN",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218112685",
            "telephone_number": "443-783-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME COATES THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "443-783-3523",
        "authorized_official_credential": "LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.