Individual provider Active NPI

Donna M Coons, LCSW

  • Clinical Social Worker
  • Stottville, NY
National Provider Identifier
1629434501
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077722-1 Issued in NY
Practice address
6729 Chester Ave
Stottville, NY 12172
Phone
(518) 751-0693
NPI assigned
Jan 8, 2016
Last updated
Feb 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 077722-1 NY Primary

Addresses

Primary practice location

6729 Chester Ave
Stottville, NY 12172

Mailing address

PO Box 51
Stottville, NY 12172-0051
Phone (518) 751-0693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160519002287 NY Practitioner - Clinical Social Worker 0547159923 Practice locations: Hudson, NY; Stottville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6729 Chester Ave
Stottville, NY 12172-7722
Phone (518) 751-0693

PO Box
51 6729 Chester Ave
Stottville, NY 12172-0051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077722-1NYMDClinical Social Worker
066068NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Counseling Inc. Past Accepting new patients
Ajs Mental Health Counseling, PLLC PastSince Mar 6, 2022 Accepting new patients
Tanya D Mays MD PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9716/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1629434501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51",
            "city": "STOTTVILLE",
            "state": "NY",
            "postal_code": "121720051",
            "telephone_number": "518-751-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6729 CHESTER AVE",
            "city": "STOTTVILLE",
            "state": "NY",
            "postal_code": "12172",
            "telephone_number": "518-751-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONS",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077722-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.