Active NPI
Lakeshia Evett Coakley
- Counselor
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3125 Poplarwood CT
Suite 304
Raleigh, NC 27604-1084 - Phone
- (919) 790-8580
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3125 Poplarwood CT
Suite 304
Raleigh, NC 27604-1084
Mailing address
8300 Riverwind LN
Apt 108
Raleigh, NC 27617-8451
Phone (919) 790-8580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487720405 | Medicaid | NC |
Other names 1
- Lakeshia Evett Coakley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2801 Buford Hwy NE
Suite T10
Atlanta, GA 30329-2149
Phone (347) 830-7720
4801 Glenwood Ave
Suite 200
Raleigh, NC 27612-3857
Phone (347) 830-7720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19342 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriving Lane | Current | Accepting new patients | |
| Institute for Family Centered Services | Past | Accepting new patients |
Locations
200 2nd Ave S
St Petersburg, FL 33701
Phone (727) 465-8515
2801 Buford Hwy NE
Ste T10
Brookhaven, GA 30329
Phone (404) 397-8302
4801 Glenwood Ave
Ste 200
Raleigh, NC 27612
Phone (757) 866-2715
Interoperability endpoints
- thrivinglanellc.lakeshiaecoakley@149897.advancedmd-direct.com
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1942355102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1487720405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 RIVERWIND LN",
"address_2": "APT 108",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276178451",
"telephone_number": "919-790-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 POPLARWOOD CT",
"address_2": "SUITE 304",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276041084",
"telephone_number": "919-790-8580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COAKLEY",
"first_name": "LAKESHIA",
"middle_name": "EVETT",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487720405",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAKESHIA",
"last_name": "COAKLEY",
"middle_name": "EVETT",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.