Coffee Talk Therapy Health and Wellness Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COFFEE TALK THERAPY HEALTH AND WELLNESS INC

Practice address

600 New Waverly PL Ste 100
Cary, NC 27518-7404

Phone

(984) 689-1714

NPI assigned

Jul 31, 2024

Organization subpart

No

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

Authorized official

Name

Jacklyn Michele Blake, LCMHC MBANPI 1780138214

Title

Executive Director

Phone

(919) 889-4448

Specialties & licenses 1

Addresses

Other names 2

• Blake Counseling and Coaching, PLLC Former legal business name
• Coffee Talk Therapy, PLLC Former legal business name

Tax ID family

Blake Counseling and Coaching PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coffee Talk Therapy PLLC

  • Mental Health Counselor
  • Cary, NC
  • NPI 1295443455
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacklyn Michele Blake, LCMHC, MBA

  • Mental Health Counselor
  • Cary, NC
  • NPI 1780138214
  NPD Authorized official

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1215766894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NEW WAVERLY PL STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187404",
            "telephone_number": "919-889-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NEW WAVERLY PL STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187404",
            "telephone_number": "984-689-1714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 New Waverly Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187404",
            "country_code": "US",
            "telephone_number": "984-689-1714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COFFEE TALK THERAPY HEALTH AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-889-4448",
        "authorized_official_credential": "LCMHC MBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blake Counseling and Coaching, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Coffee Talk Therapy, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lauren Marchman Cochran, OTR/L
• Catherine Concetta Codispoti-Mullins, LCSW
• Dawson Cody
• Elisabeth Nicole Cofer, LCSWA
• Coffee Talk Therapy Health and Wellness Group, PLLC
• Coffee Talk Therapy PLLC
• Sheena Dawn Coffey, DO
• Erica Cofield
• Regan Cofone
• Jill Patricia Coghlan-Uttridge, LCSW

• Mental Health Counselor in Cary, NC
• Providers in Cary, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.