Individual provider Active NPI

Loary Viola Coates, MENTAL HEALTH COUNSE

  • Counseling Psychologist
  • Sarasota, FL
National Provider Identifier
1265996730
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1600 Issued in FL
Practice address
3224 Bee Ridge Rd
Sarasota, FL 34239-7201
Phone
(941) 315-5588
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 1600 FL Primary

Addresses

Primary practice location

3224 Bee Ridge Rd
Sarasota, FL 34239-7201

Mailing address

5230 San Palermo Dr
Bradenton, FL 34208-2374
Phone (715) 245-0032

Other practice location 1

1670 Main St
Sarasota, FL 34236-5838
Phone (941) 315-5588

Other identifiers 1

IdentifierTypeStateIssuer
1600OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240111004923 FL Practitioner - Mental Health Counselor 8729439906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Counseling Services of the Gulf Coast IncGroup PAC ID 1456314343, 13 clinicians

Practice addresses (Care Compare)

3224 Bee Ridge Rd
Sarasota, FL 34239-7201
Phone (941) 926-2959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1600FLMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Services of the Gulf Coast Inc Single Specialty CurrentSince Jan 1, 2024 Accepting new patients

Locations

14305 Covenant Way
Lakewood Ranch, FL 34202

1670 Main St
Sarasota, FL 34236
Phone (941) 315-5588

3224 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 284-8964

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": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1265996730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 SAN PALERMO DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342082374",
            "telephone_number": "715-245-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397201",
            "telephone_number": "941-315-5588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1670 Main St",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342365838",
            "country_code": "US",
            "telephone_number": "941-315-5588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COATES",
        "first_name": "LOARY",
        "middle_name": "VIOLA",
        "credential": "MENTAL HEALTH COUNSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "1600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.