Active NPI
Eliane Coates
- Mental Health Counselor
- Frederick, MD
National Provider Identifier
1659049955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP11619
- Practice address
- 3013 Sanctuary LN
Frederick, MD 21701-6807 - Phone
- (301) 712-7513
- NPI assigned
- Sep 1, 2021
- Last updated
- Sep 1, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP11619 | Primary |
Addresses
Primary practice location
3013 Sanctuary LN
Frederick, MD 21701-6807
Mailing address
3013 Sanctuary LN
Frederick, MD 21701-6807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4 W Main St
New Market, MD 21774-6290
Phone (301) 381-4586
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Valley Therapy, L.L.C. | Mental Health | Current | Accepting new patients |
| Green Valley Therapy, L.L.C. | Mental Health | Past | Accepting new patients |
Locations
9 Saint Paul St
Ste 2
Boonsboro, MD 21713
Phone (301) 381-4586
205 Broadway St
Ste 310
Frederick, MD 21701
Phone (301) 381-4586
Organizations & group practices 2
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": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1659049955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 SANCTUARY LN",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3013 SANCTUARY LN",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016807",
"telephone_number": "301-712-7513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATES",
"first_name": "ELIANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "LGP11619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.