Active NPI
Mary Coates James, LPC
- Professional Counselor
- Charlottesville, VA
National Provider Identifier
1083800031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701001075
- Practice address
- 501 W Main St
Charlottesville, VA 22903-5541 - Phone
- (434) 964-1910
- NPI assigned
- Sep 23, 2007
- Last updated
- Sep 23, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701001075 | VA | Primary |
Addresses
Primary practice location
501 W Main St
Charlottesville, VA 22903-5541
Mailing address
PO Box 641
Ivy, VA 22945-0641
Phone (434) 964-1910
Other names 1
- Ms. Mary Josephine Coates
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701001075 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cover | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Community Outreach to Vietnam Era Returnees
- Community/Behavioral Health Agency
- Charlottesville, VA
- NPI 1710168059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190505600000",
"number": "1083800031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 641",
"city": "IVY",
"state": "VA",
"postal_code": "229450641",
"telephone_number": "434-964-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W MAIN ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229035541",
"telephone_number": "434-964-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "MARY",
"middle_name": "COATES",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-23",
"last_updated": "2007-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701001075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "COATES",
"middle_name": "JOSEPHINE",
"prefix": "MS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.