Active NPI
Robyn Coughlin, LCSW, LLC
Doing business as Robyn Coughlin, LCSW Group Practice
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1912752023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ROBYN COUGHLIN, LCSW, LLC
- Doing business as
- Robyn Coughlin, LCSW Group Practice
- Practice address
- 8690 Aero Dr # 115-219
San Diego, CA 92123-1886 - Phone
- (619) 997-5310
- Fax
- (954) 715-2741
- NPI assigned
- Apr 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Coughlin Robyn, LCSW, LICSW, BCD
- Title
- Owner
- Phone
- (619) 997-5310
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X |
Addresses
Primary practice location
8690 Aero Dr # 115-219
San Diego, CA 92123-1886
Mailing address
8690 Aero Dr # 115-219
San Diego, CA 92123-1886
Phone (619) 997-5310
Other practice location 1
1400 112th Ave SE Ste 100
Bellevue, WA 98004-6901
Phone (619) 997-5310
Other names 1
- Robyn Coughlin, LCSW Group Practice
National Provider Directory
National Provider DirectoryLocations
8690 Aero Dr
#115219
San Diego, CA 92123
Phone (619) 997-5310
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1912752023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8690 AERO DR # 115-219",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231886",
"telephone_number": "619-997-5310",
"fax_number": "954-715-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8690 AERO DR # 115-219",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231886",
"telephone_number": "619-997-5310",
"fax_number": "954-715-2741"
}
],
"practiceLocations": [
{
"address_1": "1400 112th Ave SE Ste 100",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980046901",
"country_code": "US",
"telephone_number": "619-997-5310",
"fax_number": "954-715-2741",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ROBYN COUGHLIN, LCSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "ROBYN",
"authorized_official_first_name": "COUGHLIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-997-5310",
"authorized_official_credential": "LCSW, LICSW, BCD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Robyn Coughlin, LCSW Group Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.