Coffee on the Couch Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COFFEE ON THE COUCH COUNSELING LLC

Practice address

2107 Wyoming Blvd NE
Albuquerque, NM 87112-2617

Phone

(505) 705-0571

NPI assigned

Feb 10, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Hollingworth, LPCCNPI 1700197464

Title

Founder

Phone

(505) 705-0571

Specialties & licenses 2

Addresses

Other names 1

• Coffee on the Couch Counseling LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy J Hollingworth, PHD, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1700197464
  Medicare reassignment NPD Authorized official
• Betsy Denise Ramsell, LSAA

  • Addiction (Substance Use Disorder) Counselor
  • Albuquerque, NM
  • NPI 1639905755
  NPD

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1881348613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122617",
            "telephone_number": "505-705-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122617",
            "telephone_number": "505-705-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEE ON THE COUCH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "HOLLINGWORTH",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "505-705-0571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coffee on the Couch Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coffee on the Couch Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles W Coe, RDLD
• Thomas E. Coe, CCC-SLP
• Amy Coen, LMSW
• Killian Coen
• Billye N Coey, LPCC, LMFT, LMSW
• George M Coffey, M.D.
• Teresa Coffey, CNS
• Lydia Gene Coffield, PH.D
• Melanie Coffing, PA-C
• Veronica Coffing

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.