NPIMap

Organization Active NPI

Coalesce Medical Services LLC

  • Community/Behavioral Health Agency
  • Cookeville, TN
National Provider Identifier
1740862580
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COALESCE MEDICAL SERVICES LLC
Practice address
1696 West Broad Street
Cookeville, TN 38501
Phone
(931) 486-3345
NPI assigned
Apr 21, 2021
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Kathryn DubrayNPI 1730888470
Title
Ceo
Phone
(931) 322-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Rehabilitation Clinic/Center 261QR0400X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1696 West Broad Street
Cookeville, TN 38501

Mailing address

PO Box 104
Baxter, TN 38544-0104

National Provider Directory

National Provider Directory

Locations

1696 W Broad St
Cookeville, TN 38501
Phone (931) 263-8908

1814 Salem Rd
Cookeville, TN 38506

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1740862580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104",
            "city": "BAXTER",
            "state": "TN",
            "postal_code": "385440104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 WEST BROAD STREET",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-486-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COALESCE MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2025-06-10",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "DUBRAY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-322-2273"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.