John David Coffey, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW.0009921122 Issued in CO

Practice address

844 Main St Ste 204
Louisville, CO 80027-1806

Phone

(914) 844-1162

NPI assigned

Apr 9, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• J Coffey Counseling LLC

  • Professional Counselor
  • Louisville, CO
  • NPI 1700471091

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1649777368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 FILLMORE CT",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272273",
            "telephone_number": "914-844-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 MAIN ST STE 204",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271806",
            "telephone_number": "914-844-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LSW.0009921122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000162820",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coal Creek Counseling Associates
• Coal Creek Diagnostics, LLC
• Coal Creek Family Medicine
• Coal Creek Family Medicine LLC
• Coal Creek Physical Therapy, LLC
• Colorado Eye Center, LLC
• Colorado Heart and Vascular PC
• Colorado Orthotic & Prosthetic Services, LLC
• Colorado Palliative & Hospice Care of the Front Range
• Colorado Spine and Sport

• Clinical Social Worker in Louisville, CO
• Providers in Louisville, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.