Individual provider Active NPI

Bodie Ward Coates, LMFT-S, LCADC, NCC

  • Marriage & Family Therapist
  • Carson City, NV
National Provider Identifier
1740524503
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
01312 Issued in NV
Practice address
769 Basque Way Ste 800
Carson City, NV 89706-7934
Phone
(775) 434-8418
NPI assigned
Nov 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 01565-L NV
Marriage & Family Therapist 106H00000X 01312 NV Primary

Addresses

Primary practice location

769 Basque Way Ste 800
Carson City, NV 89706-7934

Mailing address

769 Basque Way Ste 800
Carson City, NV 89706-7934
Phone (775) 434-8418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423000734 NV Practitioner - Marriage and Family Therapist 5991144529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coates and Doran PLLCGroup PAC ID 8628417250, 4 clinicians

Practice addresses (Care Compare)

911 Mountain St
Carson City, NV 89703-3819
Phone (775) 434-8418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01565-LNVMDAddiction (Substance Use Disorder) Counselor
01312NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coates & Doran, PLLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

911 Mountain St
Carson City, NV 89703
Phone (775) 220-6263

1650 Lucerne St
Ste 205
Minden, NV 89423
Phone (775) 434-7422

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": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1740524503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 BASQUE WAY STE 800",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067934",
            "telephone_number": "775-434-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 BASQUE WAY STE 800",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067934",
            "telephone_number": "775-434-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "BODIE",
        "middle_name": "WARD",
        "name_prefix": "Mr.",
        "credential": "LMFT-S, LCADC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01565-L",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.