Individual provider Active NPI

Keshia Latoya Coffie, MPA, MSW

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1538773395
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1833 Halstead Blvd Apt 407
Tallahassee, FL 32309-3472
Phone
(813) 952-4249
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1833 Halstead Blvd Apt 407
Tallahassee, FL 32309-3472

Mailing address

1833 Halstead Blvd Apt 407
Tallahassee, FL 32309-3472
Phone (813) 952-4249

Other identifiers 1

IdentifierTypeStateIssuer
C100512826390OtherFLDRIVER'S LICENSE

Other names 1

  • Keshia Latoya Holt Former name

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1538773395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 HALSTEAD BLVD APT 407",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093472",
            "telephone_number": "813-952-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 HALSTEAD BLVD APT 407",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093472",
            "telephone_number": "813-952-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFIE",
        "first_name": "KESHIA",
        "middle_name": "LATOYA",
        "credential": "MPA, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "C100512826390",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KESHIA",
            "last_name": "HOLT",
            "middle_name": "LATOYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.