NPIMap

Organization Active NPI

Coates & Doran, PLLC

  • Mental Health Counselor
  • Carson City, NV
National Provider Identifier
1104437946
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COATES & DORAN, PLLC
Practice address
1812 Marian Ave
Carson City, NV 89706-2632
Phone
(775) 450-7414
NPI assigned
Aug 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Mr. Bodie Ward Coates, MFT, LADCNPI 1740524503
Title
Owner
Phone
(775) 450-7414

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X

Addresses

Primary practice location

1812 Marian Ave
Carson City, NV 89706-2632

Mailing address

2602 Blue Haven LN
Carson City, NV 89701-4850
Phone (775) 450-7414

Other names 1

  • Sandstone Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240416002257 NV Part B Supplier - Clinic/Group Practice 8628417250 Receives reassigned benefits from 4 practitioners
Practice locations: Carson City, NV; Minden, NV

National Provider Directory

National Provider Directory

Locations

911 Mountain St
Carson City, NV 89703
Phone (775) 220-6263

1650 Lucerne St
Ste 205
Minden, NV 89423
Phone (775) 434-7422

Practitioners & affiliated clinicians

Practitioners 11

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": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1104437946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 BLUE HAVEN LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014850",
            "telephone_number": "775-450-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 MARIAN AVE",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062632",
            "telephone_number": "775-450-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COATES & DORAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "BODIE",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-450-7414",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandstone Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.