Individual provider Active NPI

Donna Cecilia Coakley, LCPC

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1780822148
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PRC1370 Issued in DC
Practice address
216 Michigan Ave NE
Washington, DC 20017-1095
Phone
(202) 877-7943
Fax
(855) 778-6874
NPI assigned
Jan 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC0875 MD
Mental Health Counselor 101YM0800X PRC1370 DC Primary

Addresses

Primary practice location

216 Michigan Ave NE
Washington, DC 20017-1095

Mailing address

77 H St NW Apt 151
Washington, DC 20001-2336
Phone (301) 908-9236

Other practice location 1

77 H St NW Apt 151
Washington, DC 20001-2336
Phone (301) 908-9236

Other names 1

  • Mrs. Donna Hudson Coakley Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240103000054 DC Practitioner - Mental Health Counselor 7012069784 Reassigns benefits to 3 organizations
I20260424002747 VA Practitioner - Mental Health Counselor 7012069784 Reassigns benefits to 1 organization
I20260519003141 MD Practitioner - Mental Health Counselor 7012069784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRC1370DCMDMental Health Counselor
LC0875MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jan 1, 2024 Accepting new patients
Washington Hospital Center Corp Current Accepting new patients
Washington Hospital Center Corp CurrentSince Jan 1, 2024 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

216 Michigan Ave NE
Washington, DC 20017
Phone (202) 877-6321

3007 Tilden St NW
Ste 5N
Washington, DC 20008

Organizations & group practices 4

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": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1780822148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 H ST NW APT 151",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012336",
            "telephone_number": "301-908-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MICHIGAN AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200171095",
            "telephone_number": "202-877-7943",
            "fax_number": "855-778-6874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 H St NW Apt 151",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200012336",
            "country_code": "US",
            "telephone_number": "301-908-9236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COAKLEY",
        "first_name": "DONNA",
        "middle_name": "CECILIA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC0875",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC1370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "COAKLEY",
            "middle_name": "HUDSON",
            "prefix": "MRS.",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.