Individual provider Active NPI

Eryn T Aldrich Coffey, LMFT

  • Counselor
  • Bishop, CA
National Provider Identifier
1922555499
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
IMF94534 Issued in CA
Practice address
162 Grove St Ste J
Bishop, CA 93514-2652
Phone
(760) 873-6533
Fax
(760) 873-3277
NPI assigned
Sep 1, 2016
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IMF94534 CA Primary

Addresses

Primary practice location

162 Grove St Ste J
Bishop, CA 93514-2652

Mailing address

PO Box 660
Mammoth Lakes, CA 93546-0660
Phone (760) 924-4333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eryn.coffey@mammothhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240105000222 CA Practitioner - Marriage and Family Therapist 4880045756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

PO Box
Suite 660
Mammoth Lakes, CA 93546-0660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF94534CAMDCounselor
105055CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Mono Health Care District CurrentSince Jan 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1922555499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "935460660",
            "telephone_number": "760-924-4333",
            "fax_number": "760-924-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 GROVE ST STE J",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142652",
            "telephone_number": "760-873-6533",
            "fax_number": "760-873-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRICH COFFEY",
        "first_name": "ERYN",
        "middle_name": "T",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "IMF94534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eryn.coffey@mammothhospital.com",
            "affiliation": "N",
            "endpointDescription": "Southern Mono Healthcare District Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "85 Sierra Park Rd",
            "city": "Mammoth Lakes",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935462073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

Verify at the official NPI Registry.