Individual provider Active NPI

Kathryn Lynn Coker, LMHC

  • Mental Health Counselor
  • Wesley Chapel, FL
National Provider Identifier
1912957382
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 5997 Issued in FL
Practice address
3229 Grassglen PL
Wesley Chapel, FL 33544-7335
Phone
(813) 458-5751
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00960600 NJ
Mental Health Counselor 101YM0800X MH5997 FL
Counseling Psychologist 103TC1900X MH5997 FL
Mental Health Counselor 101YM0800X MH 5997 FL Primary

Addresses

Primary practice location

3229 Grassglen PL
Wesley Chapel, FL 33544-7335

Mailing address

3229 Grassglen PL
Wesley Chapel, FL 33544-7335
Phone (813) 458-5751

Other identifiers 1

IdentifierTypeStateIssuer
009476100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603001459 FL Practitioner - Mental Health Counselor 3173065422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neurocognitive Institute LLCGroup PAC ID 6204095185, 6 clinicians

Practice addresses (Care Compare)

625 E Twiggs St
Suite 110
Tampa, FL 33602-3910
Phone (973) 601-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 5997FLMDMental Health Counselor
37PC00960600NJMDProfessional Counselor
MH5997FLMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurocognitive Institute LLC Professional CurrentSince Jun 3, 2024 Accepting new patients
Canino LCSW Psychotherapy PC Past Accepting new patients

Locations

625 E Twiggs St
Ste 110
Tampa, FL 33602
Phone (866) 603-7803

111 Howard Blvd
Ste 205
Mt Arlington, NJ 07856
Phone (973) 600-0100

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1912957382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 GRASSGLEN PL",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447335",
            "telephone_number": "813-458-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 GRASSGLEN PL",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447335",
            "telephone_number": "813-458-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "KATHRYN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00960600",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5997",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "MH5997",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 5997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009476100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.