Individual provider Active NPI

Aida R. Coffey, M.D.

  • Psychiatry Physician
  • Lakeway, TX
National Provider Identifier
1811069917
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G48976 Issued in TX
Practice address
1010 Ranch Road 620 South
Suite 108
Lakeway, TX 78734
Phone
(512) 565-5003
Fax
(512) 263-9975
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G48976 TX Primary

Addresses

Primary practice location

1010 Ranch Road 620 South
Suite 108
Lakeway, TX 78734

Mailing address

1010 Ranch Road 620 South
Suite 108
Lakeway, TX 78734
Phone (512) 565-5003

Other identifiers 2

IdentifierTypeStateIssuer
030719101MedicaidTX
0068DBOtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090421000071 TX Practitioner - Psychiatry 7517014079 Reassigns benefits to 1 organization
Practice locations: Lakeway, TX

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Virginia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMS Neurohealth Texas PLLCGroup PAC ID 7810227600, 10 clinicians

Practice addresses (Care Compare)

1010 R R 620 S
Suite 108
Lakeway, TX 78734-5638
Phone (512) 496-7284

3705 Medical Pkwy
Suite 450
Austin, TX 78705-1024
Phone (512) 377-9781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G48976TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Neurohealth Texas PLLC Psychiatry CurrentSince Feb 19, 2020 Accepting new patients
Diane Nguyen DO PLLC Psychiatry PastSince Nov 8, 2025 Accepting new patients
Emamefe Okinedo DMD PLLC PastSince Mar 8, 2025 Accepting new patients

Locations

3705 Medical Pkwy
Ste 450
Austin, TX 78705
Phone (512) 306-0061

4009 Banister Ln
Ste 360
Austin, TX 78704
Phone 51287939542916

23530 Kingsland Blvd
Ste 301
Katy, TX 77494
Phone (281) 769-3689

820 Lawrence Rd
Ste 126
Kemah, TX 77565
Phone (832) 536-7988

2950 Cullen Blvd
Ste 109
Pearland, TX 77584
Phone (281) 406-1594

21922 Bellaire Blvd
Ste 400
Richmond, TX 77407
Phone (346) 762-2751

1301 S Capital of Texas Hwy
Ste 138A
West Lake Hills, TX 78746
Phone (737) 239-0020

Interoperability endpoints

  • Direct secure messaging: aida.coffey.1@18773.direct.athenahealth.com

Organizations & group practices 3

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1811069917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 RANCH ROAD 620 SOUTH",
            "address_2": "SUITE 108",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "78734",
            "telephone_number": "512-565-5003",
            "fax_number": "512-263-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 RANCH ROAD 620 SOUTH",
            "address_2": "SUITE 108",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "78734",
            "telephone_number": "512-565-5003",
            "fax_number": "512-263-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "AIDA",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G48976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030719101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0068DB",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.