Individual provider Active NPI

Demire Coffin-Williams, LMHC

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1740748680
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008305-1 Issued in NY
Practice address
89 Butler Ave Uppr
Buffalo, NY 14208-1517
Phone
(518) 312-5208
NPI assigned
Mar 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 008305-1 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X 008305-1 NY
Pastoral Counselor 101YP1600X 008305-1 NY
Mental Health Counselor 101YM0800X 008305-1 NY Primary

Addresses

Primary practice location

89 Butler Ave Uppr
Buffalo, NY 14208-1517

Mailing address

89 Butler Ave Uppr
Buffalo, NY 14208-1517
Phone (518) 312-5208

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
008305-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1740748680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 BUTLER AVE UPPR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142081517",
            "telephone_number": "518-312-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 BUTLER AVE UPPR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142081517",
            "telephone_number": "518-312-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFIN-WILLIAMS",
        "first_name": "DEMIRE",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "008305-1",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "008305-1",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NY",
            "license": "008305-1",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008305-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.