Individual provider Active NPI

Edward Earl Coffey Jr.

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1689237299
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A14771 Issued in NC
Practice address
3125 Poplarwood CT Ste 150
Raleigh, NC 27604-6433
Phone
(919) 395-6945
NPI assigned
Apr 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A14771 NC Primary

Addresses

Primary practice location

3125 Poplarwood CT Ste 150
Raleigh, NC 27604-6433

Mailing address

1221 Swingline Way
Raleigh, NC 27610-3272
Phone (919) 395-6945

Other practice location 1

3125 Poplarwood Ct Ste 203
Raleigh, NC 27604-6445
Phone (919) 787-6131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240904001052 NC Practitioner - Mental Health Counselor 6608316708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1221 Swingline Way
Raleigh, NC 27610-3272
Phone (919) 395-6945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
A14771NCMDMental Health Counselor
14771NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Coffey Counseling Services PLLC. Mental Health CurrentSince Mar 21, 2024 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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1689237299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SWINGLINE WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103272",
            "telephone_number": "919-395-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 POPLARWOOD CT STE 150",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276046433",
            "telephone_number": "919-395-6945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 Poplarwood Ct Ste 203",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276046445",
            "country_code": "US",
            "telephone_number": "919-787-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "EDWARD",
        "middle_name": "EARL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.