Active NPI
Mark D Coakley, LPC
- Professional Counselor
- Marysville, OH
National Provider Identifier
1225326267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.0700018
- Practice address
- 715 S. Plum St
Marysville, OH 43040 - Phone
- (937) 644-9192
- Fax
- (937) 644-3426
- NPI assigned
- Jul 12, 2011
- Sex
- Male
- Sole proprietor
- No
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 | C.0700018 | OH | Primary |
Addresses
Primary practice location
715 S. Plum St
Marysville, OH 43040
Mailing address
PO Box 817
West Liberty, OH 43357
Phone (937) 465-8065
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 |
|---|---|---|---|
| C.0700018 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consolidated Care Inc | 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 and National Provider Directory roles.
-
- Mental Health Counselor
- West Liberty, OH
- NPI 1215933569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1225326267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 817",
"city": "WEST LIBERTY",
"state": "OH",
"postal_code": "43357",
"telephone_number": "937-465-8065",
"fax_number": "937-465-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S. PLUM ST",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "43040",
"telephone_number": "937-644-9192",
"fax_number": "937-644-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COAKLEY",
"first_name": "MARK",
"middle_name": "D",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-12",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.0700018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.