Kelly Coates, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009237 Issued in PA

Practice address

1163 E 38TH St
Erie, PA 16504-1869

Phone

(814) 812-9738

NPI assigned

Nov 27, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wellspring of Life, LLC

  • Professional Counselor
  • Erie, PA
  • NPI 1154700110
  NPD (past)

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

{
    "created_epoch": "1480204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480204800000",
    "number": "1700329653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041869",
            "telephone_number": "814-812-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041869",
            "telephone_number": "814-812-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "KELLY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-27",
        "last_updated": "2016-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical Practice of Lecom Institute for Successful Living
• Clinical Practice of Lecom Institute for Successful Living
• Brian Clonan
• Kayci Reid Clouse
• CNL Home Health Care LLC
• Francine Elizabeth Cochis, L.C.S.W.
• Taylor Glaser Coffman, PA-C
• Richard L Cogley, MD
• Peter Anson Cohen, D.C.
• Brian Richard Cole, PT

• Professional Counselor in Erie, PA
• Providers in Erie, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2016; 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.