Active NPI
Jarod Matthew Coffey, LCSW
- Clinical Social Worker
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004949
- 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, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003407 | Medicaid | NC |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS 1549 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| LCSW C004949 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Area Health Education Center, Inc. | Addiction (Substance Use Disorder) | Current | 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 | Past | 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.
-
dba MAHEC Family Health Center
- Federally Qualified Health Center (FQHC)
- Asheville, NC
- NPI 1952356388
Addiction (Substance Use Disorder)
-
dba MAHEC Center for Psychiatry and Mental Wellness
- Federally Qualified Health Center (FQHC)
- Asheville, NC
- NPI 1295390409
Addiction (Substance Use Disorder)
-
- Exclusive Provider Organization
- Spruce Pine, NC
- NPI 1023084399
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hendersonville, NC
- NPI 1710937396
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.