Individual provider Active NPI

Vallery Coats, LPC

  • Mental Health Counselor
  • Carefree, AZ
National Provider Identifier
1093887515
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC1583 Issued in AZ
Practice address
36800 N Sidewinder Rd
Suite C23
Carefree, AZ 85377-2382
Phone
(480) 980-6308
Fax
(480) 488-1904
NPI assigned
Nov 14, 2006
Last updated
Nov 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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 LPC1583 AZ Primary

Addresses

Primary practice location

36800 N Sidewinder Rd
Suite C23
Carefree, AZ 85377-2382

Mailing address

PO Box 2382
Carefree, AZ 85377-2382
Phone (480) 980-6308

Other identifiers 1

IdentifierTypeStateIssuer
LPC1583OtherAZTHERAPIST

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

LicenseStateTypeSpecialty
LPC1583AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Counseling, PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1093887515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2382",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "853772382",
            "telephone_number": "480-980-6308",
            "fax_number": "480-488-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36800 N SIDEWINDER RD",
            "address_2": "SUITE C23",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "853772382",
            "telephone_number": "480-980-6308",
            "fax_number": "480-488-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATS",
        "first_name": "VALLERY",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC1583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPIST",
            "identifier": "LPC1583",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carefree, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.