Individual provider Active NPI

Tammi Jo Coffey, LMFT

  • Mental Health Counselor
  • Great Falls, MT
National Provider Identifier
1821245481
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1377 LCPC Issued in MT
Practice address
1524 1St Ave S
Great Falls, MT 59401-3805
Phone
(303) 709-1112
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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 1377 LCPC MT Primary
Marriage & Family Therapist 106H00000X 20 MT

Addresses

Primary practice location

1524 1St Ave S
Great Falls, MT 59401-3805

Mailing address

1524 1St Ave S
Great Falls, MT 59401-3805
Phone (303) 709-1112

Other identifiers 1

IdentifierTypeStateIssuer
0000744870OtherMTBLUE CROSS-SHIELD OF MONTANA

Other names 1

  • Tammi Jo Coffey Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Columbia University College of Physicians and Surgeons, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1014 Crescent Dr
Great Falls, MT 59404-3226

121 14TH St
Black Eagle, MT 59414-1031
Phone (303) 709-1112

PO Box
Suite 6821
Great Falls, MT 59406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1377 LCPCMTMDMental Health Counselor
20MTMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1821245481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 1ST AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013805",
            "telephone_number": "303-709-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 1ST AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013805",
            "telephone_number": "303-709-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "TAMMI",
        "middle_name": "JO",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "1377 LCPC",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MONTANA",
            "identifier": "0000744870",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMI",
            "last_name": "COFFEY",
            "middle_name": "JO",
            "credential": "LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.