Active NPI
Demetrius Bernard Cofield, M.ED, LPCA
- Mental Health Counselor
- Gastonia, NC
National Provider Identifier
1750714101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A10260
- Practice address
- 415 W Main Ave
Gastonia, NC 28052-3844 - Phone
- (704) 478-6093
- Fax
- (704) 973-9287
- NPI assigned
- Aug 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | A10260 | NC | Primary |
Addresses
Primary practice location
415 W Main Ave
Gastonia, NC 28052-3844
Mailing address
2420 Celanese Rd Apt 312
Rock Hill, SC 29732-0026
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A10260 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1750714101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 CELANESE RD APT 312",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297320026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W MAIN AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280523844",
"telephone_number": "704-478-6093",
"fax_number": "704-973-9287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFIELD",
"first_name": "DEMETRIUS",
"middle_name": "BERNARD",
"credential": "M.ED, LPCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-20",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A10260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.