Active NPI
Edward Earl Coffey Jr.
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1689237299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A14771
- 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
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 | 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
Enrollment records 1
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A14771 | NC | MD | Mental Health Counselor |
| 14771 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffey Counseling Services PLLC. | Mental Health | Current | 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.
-
- Mental Health Counselor
- Raleigh, NC
- NPI 1669136560
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.