Patricia Carol Coughlin, PHD

Primary specialty

CounselorTaxonomy code 101Y00000X

License

SW000750 Issued in MO

Practice address

13610 Barrett Office Dr.
Suite 210
St Louis, MO 63021

Phone

(314) 662-0557

Fax

(314) 835-0021

NPI assigned

Dec 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Patricia Carol Coughlin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1841474889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11349 CRAGWOLD RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631227010",
            "telephone_number": "314-965-3466",
            "fax_number": "314-835-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13610 BARRETT OFFICE DR.",
            "address_2": "SUITE 210",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63021",
            "telephone_number": "314-662-0557",
            "fax_number": "314-835-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "PATRICIA",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "SW000750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "COUGHLIN",
            "middle_name": "CAROL",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sara Elizabeth Couch, M.S. CCC-SLP
• Steven Michael Couch, MD
• Ryan W. Couchman, MD
• Couchside Community LLC
• Carrie Christine Coughlin, MD
• Joy Coulis
• Carol A Coulson, MSW, LCSW
• Kathryn Ann Coulson, M.D.
• Jessica Coulter, PSY.D.
• Council for Extended Care

• Counselor in St Louis, MO
• Providers in St Louis, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.