MR. JERRY TODD MCCOY
NPI 1154904373
Counselor - Addiction (Substance Use Disorder) in Lafayette, IN

Active since May 05, 2021
4705 MEIJER CT, LAFAYETTE, IN 47905(765) 701-6060 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jerry Todd Mccoy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERRY TODD MCCOY (NPI 1154904373) is an individual addiction (substance use disorder) provider in Lafayette, Indiana and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1154904373
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JERRY TODD MCCOY
Location Address4705 MEIJER CTLafayette, IN 47905-4684
Mailing Address4705 Meijer CtLafayette, IN 47905-4684 · (765) 701-6060
Sole ProprietorNo
Enumeration DateMay 5, 2021
NPPES CertifiedMay 5, 2021
NPI 1154904373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
4705 MEIJER CT, Lafayette, IN 47905

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
4705 MEIJER CT
LAFAYETTE, IN 47905
Specialist
4705 MEIJER CT
LAFAYETTE, IN 47905
Counselor (Addiction (Substance Use Disorder))
4705 MEIJER CT
LAFAYETTE, IN 47905
Counselor (Addiction (Substance Use Disorder))
4705 MEIJER CT
LAFAYETTE, IN 47905
Clinic/Center (Methadone)
4705 MEIJER CT
LAFAYETTE, IN 47905
Counselor (Addiction (Substance Use Disorder))
4705 MEIJER CT
LAFAYETTE, IN 47905
Counselor (Addiction (Substance Use Disorder))
4705 MEIJER CT
LAFAYETTE, IN 47905
Counselor (Addiction (Substance Use Disorder))
4705 MEIJER CT
LAFAYETTE, IN 47905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Mccoy's NPI number?

The NPI number for Jerry Mccoy is 1154904373. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Jerry Mccoy located?

Jerry Mccoy practices at 4705 Meijer Ct, Lafayette, IN 47905. The listed phone number is (765) 701-6060.

What is Jerry Mccoy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jerry Mccoy was last updated on May 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.