Active NPI
Elizabeth Adetutu Coker-Nnam, M.A, NCC, LCPC
- Professional Counselor
- Cheverly, MD
National Provider Identifier
1497059448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3070
- Practice address
- 6128 Landover Rd
Cheverly, MD 20785-1016 - Phone
- (301) 793-8739
- NPI assigned
- Jan 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC3070 | MD | Primary |
Addresses
Primary practice location
6128 Landover Rd
Cheverly, MD 20785-1016
Mailing address
13806 Captain Marbury LN
Upper Marlboro, MD 20772-6128
Phone (301) 793-8739
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3070 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1497059448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13806 CAPTAIN MARBURY LN",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726128",
"telephone_number": "301-793-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6128 LANDOVER RD",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851016",
"telephone_number": "301-793-8739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COKER-NNAM",
"first_name": "ELIZABETH",
"middle_name": "ADETUTU",
"name_prefix": "Mrs.",
"credential": "M.A, NCC, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-05",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheverly, MD
- Nelson Cho
- Citadel Behavioral Healthcare Consulting LLC
- Citadel Behavioral Healthcare Consulting LLC
- Leeroy Mark Clarke, M.D.
- Azeh Estel Cobbi
- Hope B Coleman, PHARM.D
- Keesha Devonne Collins-Griffin, LCPC
- Fatu Alpha Conteh, LCSW-C
- Crawford Consulting and Mental Health Services, Inc.
- Crawford Consulting and Mental Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.