Active NPI
Whitney Blynn Coates, MA
- Professional Counselor
- Modesto, CA
National Provider Identifier
1619283843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 141869
- Practice address
- 100 Poplar Ave
Modesto, CA 95354-0510 - Phone
- (209) 550-5869
- Fax
- (209) 523-0442
- NPI assigned
- Aug 25, 2010
- 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 | 141869 | CA | Primary |
Addresses
Primary practice location
100 Poplar Ave
Modesto, CA 95354-0510
Mailing address
100 Poplar Ave
Modesto, CA 95354-0510
Phone (209) 550-5869
Other names 1
- Whitney Blynn Henry
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1619283843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 POPLAR AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953540510",
"telephone_number": "209-550-5869",
"fax_number": "209-523-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 POPLAR AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953540510",
"telephone_number": "209-550-5869",
"fax_number": "209-523-0442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATES",
"first_name": "WHITNEY",
"middle_name": "BLYNN",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "141869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WHITNEY",
"last_name": "HENRY",
"middle_name": "BLYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.