Individual provider Active NPI

Cristen Coker, MS, LMHC

  • Mental Health Counselor
  • Edgewater, FL
National Provider Identifier
1619224672
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
509 Live Oak St Ofc 1
Edgewater, FL 32132-1553
Phone
(866) 634-4953
Fax
(386) 269-6121
NPI assigned
Aug 9, 2012
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

509 Live Oak St Ofc 1
Edgewater, FL 32132-1553

Mailing address

509 Live Oak St Ofc 1
Edgewater, FL 32132-1553
Phone (386) 663-4495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105001189 FL Practitioner - Mental Health Counselor 2163912585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

509 Live Oak St
Ofc 1
Edgewater, FL 32132-1509

509 Live Oak St
Ofc 1
Edgewater, FL 32132-1553
Phone (386) 663-4495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Cristen Coker Counseling LLC Mental Health CurrentSince Sep 16, 2025 Accepting new patients

Locations

501 N Ridgewood Ave
Ste E
Edgewater, FL 32132

509 Live Oak St
Ofc 1
Edgewater, FL 32132
Phone (386) 222-3011

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1619224672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 LIVE OAK ST OFC 1",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321553",
            "telephone_number": "386-663-4495",
            "fax_number": "386-269-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 LIVE OAK ST OFC 1",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321553",
            "telephone_number": "866-634-4953",
            "fax_number": "386-269-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "CRISTEN",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, FL

Sources for this page

Verify at the official NPI Registry.