Organization Active NPI

Robyn Coughlin, LCSW, LLC

Doing business as Robyn Coughlin, LCSW Group Practice

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1912752023
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Apr 22, 2024

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.