Active NPI
Stephany Cassandra Coakley
- Professional Counselor
- Takoma Park, MD
National Provider Identifier
1801117544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4687
- Practice address
- 6434 Kansas LN Apt 12
Takoma Park, MD 20912-4722 - Phone
- (240) 487-6675
- NPI assigned
- Jun 17, 2010
- Last updated
- Jun 17, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4687 | NC | Primary |
Addresses
Primary practice location
6434 Kansas LN Apt 12
Takoma Park, MD 20912-4722
Mailing address
6434 Kansas Lane,
#12
Takoma Park, MD 20912
Phone (240) 487-6675
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4687 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276732800000",
"number": "1801117544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6434 KANSAS LANE,",
"address_2": "#12",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "20912",
"telephone_number": "240-487-6675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6434 KANSAS LN APT 12",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209124722",
"telephone_number": "240-487-6675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COAKLEY",
"first_name": "STEPHANY",
"middle_name": "CASSANDRA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-17",
"last_updated": "2010-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.