Dominique Jackson-Coy, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW.0009924274 Issued in CO

Practice address

7340 E Caley Ave Ste 220
Centennial, CO 80111-6709

Phone

(719) 432-6322

NPI assigned

Jun 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Denver Wellness Associates

  • Child & Adolescent Psychiatry Physician
  • Denver, CO
  • NPI 1144707878
  Medicare reassignment NPD
• The Good Work LLC

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1609759224
  NPD
• Denver Wellness Associates

  • Child & Adolescent Psychiatry Physician
  • Broomfield, CO
  • NPI 1396577177
  NPD (past)
• Denver Wellness Associates

  • Psychiatry Physician
  • Greenwood Village, CO
  • NPI 1851177588
  NPD (past)

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1417634916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8155 E FAIRMOUNT DR UNIT 2022",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306838",
            "telephone_number": "719-432-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 E CALEY AVE STE 220",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116709",
            "telephone_number": "719-432-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-COY",
        "first_name": "DOMINIQUE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LSW.0009924274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Yeager Ivey, DDS, MD
• J Jay Lee M D LLC
• J.C. Kolhouse Counseling PLLC (Perspective Gains Counseling)
• Jacey J. Yunker, LCSW, Counseling, LLC
• Lauran Jacks, LCSW, PSYD.
• Cynthia Jackson, PSYCH NP
• Keli Nalu Patricia Jackson, PA-C
• Erin Colleen Jacob, PA-C
• Laura L Jacob, RDH
• Donald Richard Jacobs, MD

• Clinical Social Worker in Centennial, CO
• Providers in Centennial, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.