JONATHAN WEBSTER COFFIN (NPI# 1306922612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306922612 |
| Entity Type | Individual |
| Full Name | JONATHAN WEBSTER COFFIN |
| Credential | LICSW, MACP, LADC |
| Practice Address |
300 Flynn Ave Burlington VT 05401-5301 |
| Mailing Address |
208 Flynn Ave 3-j Burlington VT 05401-5429 |
| Practice Telephone | 8024886100 |
| Practice Fax Number | 8024886901 |
| Mailing Telephone | 8026580400 |
| Mailing Fax Number | 8026603665 |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2009-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000046 | VT | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 047-0000159 | VT | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
089-0000192 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1007277 | 05 |
| Street Address |
300 FLYNN AVE |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922044957 | Terrence M Hayden | Social Worker | 300 Flynn Ave, Burlington, VT 05401-5301 | 2006-06-20 |
| 1881130334 | Olivia Sanders | Counselor | 300 Flynn Ave, Burlington, VT 05401-5301 | 2017-01-09 |
| 1356885529 | Patricia Bauerle | Social Worker | 300 Flynn Ave, Burlington, VT 05401-5301 | 2016-12-07 |
| 1891147336 | Brian Kelley | Nurse Practitioner | 300 Flynn Ave, Burlington, VT 05401-5301 | 2016-07-08 |
| 1215399571 | Jenny Shen | Psychiatry & Neurology | 300 Flynn Ave, Burlington, VT 05401-5301 | 2016-03-25 |
| 1669871380 | David Schaffer | Social Worker | 300 Flynn Ave, Burlington, VT 05401-5301 | 2014-08-19 |
| 1619391943 | Allison Sarah Brandt | Psychiatry & Neurology | 300 Flynn Ave, Burlington, VT 05401-5301 | 2014-02-06 |
| 1538432299 | Amanda Giroux | Counselor | 300 Flynn Ave, Burlington, VT 05401-5301 | 2012-02-10 |
| 1457638553 | Lisa Martiny | Social Worker | 300 Flynn Ave, Burlington, VT 05401-5301 | 2011-11-03 |
| 1427356518 | Elliott Mcelroy | Counselor | 300 Flynn Ave, Burlington, VT 05401-5301 | 2011-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312872 | Ellen Barton | Counselor | Skagit Community Detox, 201 Lila Lane, Burlington, WA 98233 | 2020-06-25 |
| 1285257899 | Kimberly T Scott | Counselor | 1870 Dixon Swimming Pool Rd, Burlington, NC 27217-8587 | 2020-05-19 |
| 1700412624 | Amanda K Parnell | Counselor | 260 W Davis St Ste D, Burlington, NC 27215-3707 | 2020-03-23 |
| 1770120594 | Shawn Rhodes | Counselor | 1000-t High St, Burlington, NJ 08016-4633 | 2019-12-01 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1518517226 | Harold Mcnerney | Counselor | 355 10th St, Burlington, CO 80807-1820 | 2019-09-14 |
| 1083127294 | Janice E Lee | Counselor | 331 Hale St, Burlington, NC 27217-3114 | 2017-11-09 |
| 1679092027 | Emilee Elizabeth Mason | Counselor | 614 Peterson Rd # 200, Burlington, WA 98233-2606 | 2017-09-18 |
| 1366960395 | Sarah Victoria Steenbeek | Counselor | 71 Harrison Ave, Burlington, VT 05401-5240 | 2017-08-30 |
| 1376066423 | Jonathan Ayers | Counselor | 150 Cherry St, Burlington, VT 05401-3818 | 2017-07-20 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on JONATHAN WEBSTER COFFIN.
| 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.