Jennifer E Coyle, LCSW, MSSPED

Primary specialty

SpecialistTaxonomy code 174400000X

License

1281791 Issued in NY

Practice address

75 Crystal Run Rd Ste 201
Middletown, NY 10941-7010

Phone

(845) 692-4391

Fax

(845) 692-4397

NPI assigned

Jun 14, 2012

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1346502499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 BLACK MEADOW RD",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109182236",
            "telephone_number": "914-588-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD STE 201",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417010",
            "telephone_number": "845-692-4391",
            "fax_number": "845-692-4397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "384 Crystal Run Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109414073",
            "country_code": "US",
            "telephone_number": "845-769-8179",
            "fax_number": "845-913-9410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2920 US6",
            "address_purpose": "LOCATION",
            "city": "Slate Hill",
            "state": "NY",
            "postal_code": "10973",
            "country_code": "US",
            "telephone_number": "845-769-8179",
            "fax_number": "845-913-9410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYLE",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MSSPED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074468-1",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1281791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Couto, OT
• Lameek S Covington, LMSW
• Frederick B Cowen, M.D.
• Ashley Ann Cox, LMSW
• Gregory Wayne Cox, DO, MS
• Melissa Erin Coyle, COTA/L
• Marissa Coyne, COTA/L
• Carly Craft
• Kelly Crea
• Corina Cristescu, M.D.

• Specialist in Middletown, NY
• Providers in Middletown, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.