Individual provider Active NPI

Wendilyn Alma Coy, MA, LLPC, CAADC

  • Addiction (Substance Use Disorder) Counselor
  • Midland, MI
National Provider Identifier
1134514102
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6401014569 Issued in MI
Practice address
220 W Main St Ste 202
Midland, MI 48640-5184
Phone
(989) 631-0241
Fax
(989) 631-0242
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6401014569 MI Primary

Addresses

Primary practice location

220 W Main St Ste 202
Midland, MI 48640-5184

Mailing address

220 W Main St Ste 202
Midland, MI 48640-5184
Phone (989) 631-0241

Other names 1

  • Ms. Wendilyn Alma Bailey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807000334 MI Practitioner - Mental Health Counselor 0840737904 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401014569MIMDAddiction (Substance Use Disorder) Counselor

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1134514102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W MAIN ST STE 202",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405184",
            "telephone_number": "989-631-0241",
            "fax_number": "989-631-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W MAIN ST STE 202",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405184",
            "telephone_number": "989-631-0241",
            "fax_number": "989-631-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COY",
        "first_name": "WENDILYN",
        "middle_name": "ALMA",
        "name_prefix": "Mrs.",
        "credential": "MA, LLPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401014569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDILYN",
            "last_name": "BAILEY",
            "middle_name": "ALMA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.