Individual provider Active NPI

Jaime Farrell Coates, LCPC

  • Mental Health Counselor
  • Berlin, MD
National Provider Identifier
1710248315
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC6267 Issued in MD
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

Updated by the provider on Jun 27, 2018

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 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

LicenseStateTypeSpecialty
LC6267MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.