Active NPI
Jaime Farrell Coates, LCPC
- Mental Health Counselor
- Berlin, MD
National Provider Identifier
1710248315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC6267
- Practice address
- 378 Schooner LN
Berlin, MD 21811 - Phone
- (443) 783-3523
- NPI assigned
- May 31, 2012
- Sex
- Female
- Sole proprietor
- No
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 | LC6267 | MD | Primary |
Addresses
Primary practice location
378 Schooner LN
Berlin, MD 21811
Mailing address
378 Schooner LN
Berlin, MD 21811-2685
Phone (443) 783-3523
Other practice location 1
6040 Public Landing Rd
Snow Hill, MD 21863-2453
Phone (410) 632-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6267 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaime Coates Therapy Services, LLC | Past | 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 Clinic/Center (Including Community Mental Health Center)
- Berlin, MD
- NPI 1073008454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1710248315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "378 SCHOONER LN",
"city": "BERLIN",
"state": "MD",
"postal_code": "218112685",
"telephone_number": "443-783-3523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "378 SCHOONER LN",
"city": "BERLIN",
"state": "MD",
"postal_code": "21811",
"telephone_number": "443-783-3523"
}
],
"practiceLocations": [
{
"address_1": "6040 Public Landing Rd",
"address_purpose": "LOCATION",
"city": "Snow Hill",
"state": "MD",
"postal_code": "218632453",
"country_code": "US",
"telephone_number": "410-632-1100",
"fax_number": "410-632-5682",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COATES",
"first_name": "JAIME",
"middle_name": "FARRELL",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC6267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.