Jessica C McCoy, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

163718 Issued in OH

Practice address

201 S Columbus St
Lancaster, OH 43130-4315

Phone

(740) 687-4500

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Recovery Center

  • Community/Behavioral Health Agency
  • Lancaster, OH
  • NPI 1346508116
  NPD (past)
• The Recovery Center

  • Addiction (Substance Use Disorder) Counselor
  • Lancaster, OH
  • NPI 1669449864
  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1306363221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WYANDOTTE ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303942",
            "telephone_number": "740-274-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S COLUMBUS ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304315",
            "telephone_number": "740-687-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "JESSICA",
        "middle_name": "C",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "163718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent M McClure
• Taylor Noel McConnell
• Sherry Lynn McCormack
• Shayla McCormick
• Dawn Louise McCoy, L.I.S.W.
• Megan McCoy
• Michael D McCoy, CDCA
• James Robert McCray, D.D.S
• Phadra McCray, LSW
• Taylor McCreary, LPC

• Addiction (Substance Use Disorder) Counselor in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.