William Jonas Coatsworth, MA, LPC, LAC, CAC-II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

4984 Issued in SC

Practice address

1437 Teaberry Path
Charleston, SC 29414-8104

Phone

(843) 822-0073

Fax

(854) 444-5210

NPI assigned

Apr 19, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Hammocks on the Edisto LLC

  • Substance Abuse Rehabilitation Facility
  • Jacksonboro, SC
  • NPI 1861045767
  NPD Authorized official
• Summit BHC Cameron, LLC

  • Substance Abuse Rehabilitation Facility
  • North Charleston, SC
  • NPI 1457800310
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1861926529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 TEABERRY PATH",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148104",
            "telephone_number": "843-822-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 TEABERRY PATH",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148104",
            "telephone_number": "843-822-0073",
            "fax_number": "854-444-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATSWORTH",
        "first_name": "WILLIAM",
        "middle_name": "JONAS",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, LAC, CAC-II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "4984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Play 2 Grow Therapy, LLC
• Coastal Psychiatry, LLC
• Coastal Pulmonary, LLP
• Coastal Vascular & Vein Center, LLC
• Coastal Wound Care, LLC
• Lamor Coaxum
• Tiffany Samantha Coaxum
• Jasmine N Cobb
• Kristen Marie Cobb, RN
• Felicity Cobble, RBT

• Addiction (Substance Use Disorder) Counselor in Charleston, SC
• Providers in Charleston, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.