Individual provider Active NPI

Robert Lee Coe, LCSW

  • Mental Health Counselor
  • San Francisco, CA
National Provider Identifier
1902908643
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS 15838 Issued in CA
Practice address
3527 Sacramento St Ste 102
San Francisco, CA 94118-1884
Phone
(415) 563-3294
Fax
(510) 531-4764
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCS 15838 CA Primary

Addresses

Primary practice location

3527 Sacramento St Ste 102
San Francisco, CA 94118-1884

Mailing address

3527 Sacramento St Ste 102
San Francisco, CA 94118-1884
Phone (415) 563-3294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 15838CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Support Project, Inc CurrentSince Feb 22, 2013 Accepting new patients
Sutter Bay Medical Foundation PastSince Feb 12, 2013 Accepting new patients

Locations

2485 Clay St
Ste 102
San Francisco, CA 94115
Phone (415) 673-3505

2485 Clay St
Ste 107
San Francisco, CA 94115
Phone (415) 563-3294

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902908643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 SACRAMENTO ST STE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181884",
            "telephone_number": "415-563-3294",
            "fax_number": "510-531-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 SACRAMENTO ST STE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181884",
            "telephone_number": "415-563-3294",
            "fax_number": "510-531-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COE",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS 15838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.