Individual provider Active NPI

Jeffrey Douglas Coira, LCSW-S, LCDC, CST

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1639894306
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105158 Issued in TX
Practice address
303 Jackson Hill St FL 2
Houston, TX 77007-7407
Phone
(713) 364-4155
NPI assigned
Oct 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 105158 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15589 TX

Addresses

Primary practice location

303 Jackson Hill St FL 2
Houston, TX 77007-7407

Mailing address

5528 Holly Springs Dr
Houston, TX 77056-2024
Phone (713) 364-4155

Other practice location 1

5528 Holly Springs Dr
Houston, TX 77056-2024
Phone (713) 364-4155 ext. 71832

Other names 1

  • Jeffrey Douglas Skaggs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15589TXMDDentist
105158TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Severance Intensive Outpatient Program Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1639894306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 HOLLY SPRINGS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770562024",
            "telephone_number": "713-364-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 JACKSON HILL ST FL 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770077407",
            "telephone_number": "713-364-4155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5528 Holly Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770562024",
            "country_code": "US",
            "telephone_number": "713-364-4155 x71832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COIRA",
        "first_name": "JEFFREY",
        "middle_name": "DOUGLAS",
        "credential": "LCSW-S, LCDC, CST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105158",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "SKAGGS",
            "middle_name": "DOUGLAS",
            "credential": "LCSW-S, LCDC, CST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.