Active NPI
Elizabeth Coffin Jodoin, LPC
- Mental Health Counselor
- Greensboro, NC
National Provider Identifier
1730257692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5202
- Practice address
- Uncg Counseling and Testing Ctr
107 Gray Drive
Greensboro, NC 27412-0001 - Phone
- (336) 334-5874
- Fax
- (336) 334-3900
- NPI assigned
- Nov 30, 2006
- 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 | 5202 | NC | Primary |
Addresses
Primary practice location
Uncg Counseling and Testing Ctr
107 Gray Drive
Greensboro, NC 27412-0001
Mailing address
Uncg Counseling and Testing Ctr
107 Gray Drive
Greensboro, NC 27412-0001
Phone (336) 334-5874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103173 | Medicaid | NC |
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 |
|---|---|---|---|
| 5202 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236556800000",
"number": "1730257692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNCG COUNSELING AND TESTING CTR",
"address_2": "107 GRAY DRIVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274120001",
"telephone_number": "336-334-5874",
"fax_number": "336-334-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNCG COUNSELING AND TESTING CTR",
"address_2": "107 GRAY DRIVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274120001",
"telephone_number": "336-334-5874",
"fax_number": "336-334-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JODOIN",
"first_name": "ELIZABETH",
"middle_name": "COFFIN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2009-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "5202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103173",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.