Individual provider Active NPI

Jarod Matthew Coffey, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1356402135
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004949 Issued in NC
Practice address
417 Biltmore Ave Ste 2E
Asheville, NC 28801-4540
Phone
(828) 350-1177
Fax
(828) 350-1188
NPI assigned
Dec 13, 2006
Last updated
Nov 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS 1549 NC
Mental Health Counselor 101YM0800X LCSW C004949 NC
Clinical Social Worker 1041C0700X C004949 NC Primary

Addresses

Primary practice location

417 Biltmore Ave Ste 2E
Asheville, NC 28801-4540

Mailing address

105 Fairfax Ave
Asheville, NC 28806-3223
Phone (828) 337-0071

Other practice location 1

125 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 398-3601

Other identifiers 1

IdentifierTypeStateIssuer
6003407MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050818000472 NC Practitioner - Clinical Social Worker 4385674456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

119 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 771-5500

121 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 257-4730

123 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 771-3500

125 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 398-3601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS 1549NCMDAddiction (Substance Use Disorder) Counselor
LCSW C004949NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Area Health Education Center, Inc. Addiction (Substance Use Disorder) CurrentSince Nov 2, 2020 Accepting new patients
Mountain Area Health Education Center, Inc. Addiction (Substance Use Disorder) Current Accepting new patients
Hospice & Palliative Care of the Blue Ridge Inc PastSince Jul 31, 2017 Accepting new patients
New Vistas-Mountain Laurel, Inc. Clinical Past Accepting new patients

Locations

125 Hendersonville Rd
Asheville, NC 28803
Phone (828) 579-2100

19 N Ann St
Asheville, NC 28801
Phone (828) 257-4730

218 Elkwood Ave
Ste 102
Asheville, NC 28804
Phone (828) 257-4747

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

600 Barrett Ln
Asheville, NC 28803
Phone (828) 271-6946

119 Hendersonville Rd
Biltmore Forest, NC 28803
Phone (828) 771-5500

87 Medical Park Dr
Ste B
Brevard, NC 28712
Phone (828) 547-3004

25 Westridge Market Pl
Candler, NC 28715
Phone (443) 865-4662

1542 Cane Creek Rd
Fletcher, NC 28732
Phone (828) 628-8250

56 Medical Park Dr
Franklin, NC 28734
Phone (828) 349-8280

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1356402135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FAIRFAX AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063223",
            "telephone_number": "828-337-0071",
            "fax_number": "828-350-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 BILTMORE AVE STE 2E",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014540",
            "telephone_number": "828-350-1177",
            "fax_number": "828-350-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Hendersonville Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032868",
            "country_code": "US",
            "telephone_number": "828-398-3601",
            "fax_number": "828-333-5465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "JAROD",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS 1549",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LCSW C004949",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003407",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.