Individual provider Active NPI

Donald R Cofer Sr., MFTT

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1417208059
Registry record updated Sep 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1164 E Lugonia Ave
Apt D
Redlands, CA 92374-2699
Phone
(909) 583-7786
Fax
(909) 235-1984
NPI assigned
Sep 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1164 E Lugonia Ave
Apt D
Redlands, CA 92374-2699

Mailing address

1164 E Lugonia Ave
Apt D
Redlands, CA 92374-2699
Phone (909) 583-7786

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

NPI Registry JSON

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

{
    "created_epoch": "1348272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348272000000",
    "number": "1417208059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 E LUGONIA AVE",
            "address_2": "APT D",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742699",
            "telephone_number": "909-583-7786",
            "fax_number": "909-235-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 E LUGONIA AVE",
            "address_2": "APT D",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742699",
            "telephone_number": "909-583-7786",
            "fax_number": "909-235-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFER",
        "first_name": "DONALD",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MFTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-22",
        "last_updated": "2012-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2012; 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.