Individual provider Active NPI

Tausha Nicole Coffman, MS

  • Mental Health Counselor
  • Atlantic, IA
National Provider Identifier
1801164579
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PROVISIONAL-LMHC Issued in IA
Practice address
1408 East 10TH St
Atlantic, IA 50022
Phone
(712) 243-2606
Fax
(712) 243-2688
NPI assigned
Dec 8, 2011
Last updated
Dec 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PROVISIONAL-LMHC IA Primary

Addresses

Primary practice location

1408 East 10TH St
Atlantic, IA 50022

Mailing address

1408 East 10TH St.
Atlantic, IA 50022
Phone (712) 243-2606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240109001536 IA Practitioner - Mental Health Counselor 3476904913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Place IncGroup PAC ID 8628042983, 10 clinicians

Practice addresses (Care Compare)

101 E 22ND St
Atlantic, IA 50022-2879
Phone (712) 254-9018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PROVISIONAL-LMHCIAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Place, Inc. CurrentSince Jan 2, 2024 Accepting new patients

Locations

427 E Kanesville Blvd
Ste 102
Council Bluffs, IA 51503
Phone (712) 256-9660

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1801164579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 EAST 10TH ST.",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "50022",
            "telephone_number": "712-243-2606",
            "fax_number": "712-243-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 EAST 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "50022",
            "telephone_number": "712-243-2606",
            "fax_number": "712-243-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "TAUSHA",
        "middle_name": "NICOLE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "PROVISIONAL-LMHC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

Verify at the official NPI Registry.