MR. JASON AARON COFFEY – Addiction (Substance Use Disorder) Counselor, NPI 1679916191
Addiction (Substance Use Disorder) Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. JASON AARON COFFEY
509 MEMORIAL DR STE 2
MANCHESTER, KY 409626196
Phone: (606) 598-5104
Fax: (606) 598-0983
Type: Mailing
56 MARIE LANGDON DR
MANCHESTER, KY 409626329
Phone: (606) 599-4080
Fax: (606) 598-1688
Type: Location
509 Memorial Dr Ste 2
Manchester, KY 409626196
Phone: (606) 598-4534
Fax: (606) 598-2528
Type: Location
1203 American Greeting Card Rd
Corbin, KY 407014811
Phone: (606) 528-7010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240604001735 | I | Mental Health Counselor | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40962)
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