Jason Aaron Coffey

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LPCPCC00225353 Issued in KY

Practice address

56 Marie Langdon Dr
Manchester, KY 40962-6329

Phone

(606) 599-4080

Fax

(606) 598-1688

NPI assigned

Apr 15, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcoffey543046@adventhealth.direct-ci.com

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.

• Memorial Hospital Inc

  • Rural Health Clinic/Center
  • London, KY
  • NPI 1477184968
  NPD
• Memorial Hospital Inc.

  • Rural Health Clinic/Center
  • Manchester, KY
  • NPI 1255471827
  NPD
• Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Beverly, KY
  • NPI 1558665752
  NPD
• Memorial Hospital, Inc.

  • Specialist
  • Manchester, KY
  • NPI 1831150119

  Addiction (Substance Use Disorder)

  NPD
• Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Oneida, KY
  • NPI 1881112134
  NPD
• Cumberland River Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Corbin, KY
  • NPI 1902023526
  NPD (past)

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1679916191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MEMORIAL DR STE 2",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626196",
            "telephone_number": "606-598-5104",
            "fax_number": "606-598-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MARIE LANGDON DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626329",
            "telephone_number": "606-599-4080",
            "fax_number": "606-598-1688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 American Greeting Card Rd",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407014811",
            "country_code": "US",
            "telephone_number": "606-528-7010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Memorial Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409626196",
            "country_code": "US",
            "telephone_number": "606-598-4534",
            "fax_number": "606-598-2528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "JASON",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "LPCPCC00225353",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100393970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clay Community Pharmacy LLC
• Clay County Board of Education
• Clay County Fiscal Court
• Clay Medi Center Pharmacy LLC
• Cloud Medical Supply
• Teresa Keith Cole
• Mikayla H Collett, APRN
• Leah Ann Collins
• Robin Denise Combs
• Community Drug of Manchester Inc

• Addiction (Substance Use Disorder) Counselor in Manchester, KY
• Providers in Manchester, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.