Individual provider Active NPI

Jazma Lee-Coates, LMSW

  • Social Worker
  • Edgewood, MD
National Provider Identifier
1396434189
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
34807 Issued in MD
Practice address
2719 Pulaski Hwy Ste 5
Edgewood, MD 21040-1315
Phone
(443) 693-7596
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 34807 MD
Addiction (Substance Use Disorder) Counselor 101YA0400X SC3137 MD
Social Worker 104100000X 34807 MD Primary

Addresses

Primary practice location

2719 Pulaski Hwy Ste 5
Edgewood, MD 21040-1315

Mailing address

2719 Pulaski Hwy Ste 5
Edgewood, MD 21040-1315
Phone (410) 676-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC3137MDMDAddiction (Substance Use Disorder) Counselor
34807MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Journey of Life Behavioral Health Services, LLC CurrentSince May 7, 2023 Accepting new patients

Locations

2719 Pulaski Hwy
Ste 5
Edgewood, MD 21040
Phone (410) 676-5433

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": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1396434189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 PULASKI HWY STE 5",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210401315",
            "telephone_number": "410-676-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 PULASKI HWY STE 5",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210401315",
            "telephone_number": "443-693-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-COATES",
        "first_name": "JAZMA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "34807",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "SC3137",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "34807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.