James Benner Coberly, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH21422 Issued in FL

Practice address

7984 Forest City Rd Ste 103
Orlando, FL 32810-2907

Phone

(813) 290-8560

NPI assigned

Jun 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ben Coberly Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Families First of Florida

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1629742788
  NPD

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1902421845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 POINTE NEWPORT TER APT 203",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327077216",
            "telephone_number": "616-307-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7984 FOREST CITY RD STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102907",
            "telephone_number": "813-290-8560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Westhall Ln Ste 135",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327514195",
            "country_code": "US",
            "telephone_number": "407-534-0186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBERLY",
        "first_name": "JAMES",
        "middle_name": "BENNER",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19715",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEN",
            "last_name": "COBERLY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danita Cobb
• Jhavon Terrell Cobb
• Justin Michael Cobb, MPT, ATC/LAT, CSCS
• William James Cobb, MD
• Connie S Cobbs
• Laritssa Palacio Cobian, MD
• Ellen Coble, PSYD
• Johana Cobo
• Korey Coburn
• Stephanie Coca-Penna, BCBA

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.