STACEY COGHILL (NPI# 1164990495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164990495 |
| Entity Type | Individual |
| Full Name | STACEY COGHILL |
| Credential | LMHC |
| Practice Address |
1525 N Ritter Ave Indianapolis IN 46219-3026 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3173595467 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
39003081A | IN | Behavioral Health & Social Service Providers |
| Street Address |
1525 N RITTER AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104807338 | Celeste S Burcham | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2005-11-05 |
| 1235739426 | Alecia Hudson | Marriage & Family Therapist | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-10-28 |
| 1205435963 | Kara Holtzclaw | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-10-22 |
| 1760080485 | Jonna Jones | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-10-14 |
| 1306451604 | Lindsay C Patterson | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-09-14 |
| 1053924704 | Sherry Butler | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-08-24 |
| 1457975914 | Katherine Wolven | Counselor | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-06-01 |
| 1720601677 | Samantha Seeger | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-05-27 |
| 1619598794 | Katherine Thompson | Counselor | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-04-30 |
| 1992334460 | Jamie Hill | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116986 | Angela M Fisher | Counselor | 5109 N College Ave, Indianapolis, IN 46205-1135 | 2019-04-19 |
| 1043728447 | Reginald Johnson | Counselor | 7024 Woodside Dr, Indianapolis, IN 46260-3979 | 2018-01-19 |
| 1730613035 | Stacey Frye | Counselor | 646 Jefferson Ave, Indianapolis, IN 46201-2032 | 2017-04-13 |
| 1902255011 | Kenneth Lee Cox | Counselor | 4133 Ruckle St, Indianapolis, IN 46205-2720 | 2016-06-09 |
| 1326409129 | Fieldwork Services LLC | Counselor | 55 S State Ave Ste 373, Indianapolis, IN 46201-3898 | 2016-03-08 |
| 1235509027 | Angela Weaver | Counselor | 8525 Sarasota Ct, Indianapolis, IN 46219-2531 | 2015-10-06 |
| 1326461252 | Shobha Pais | Counselor | 8443 Crown Point Rd, Indianapolis, IN 46278-9702 | 2014-01-29 |
| 1326369547 | Barbara E Reed | Counselor | 7845 Harshaw Dr, Indianapolis, IN 46239-8588 | 2010-06-22 |
| 1235369034 | Make It Last 4-ever Clinical Family Services | Counselor | 120 E Market St Ste 460, Indianapolis, IN 46204-3282 | 2009-07-15 |
| 1942442645 | Shirley Ann Hudson | Counselor | 3401 N Meridian St, Suite 176, Indianapolis, IN 46208-4436 | 2009-03-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on STACEY COGHILL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.