1. Home
  2. Directory
  3. Idaho
  4. Cascade
  5. Social Worker
  6. NPI Profile

MRS. JAMIE TISA COFFEY-KELLY LCSW
NPI 1992135818
Social Worker - Clinical in Cascade, ID

Active since November 13, 2013PECOS Enrolled
402 LAKE CASCADE PKWY, CASCADE, ID 83611(208) 382-4285(208) 382-5081 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Jamie Tisa Coffey-kelly Lcsw NPPES

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

MRS. JAMIE TISA COFFEY-KELLY LCSW (NPI 1992135818) is an individual clinical provider in Cascade, Idaho, licensed in Idaho (LCSW-37639) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992135818
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JAMIE TISA COFFEY-KELLYCredential: LCSW
Location Address402 LAKE CASCADE PKWYCascade, ID 83611-7702
Mailing AddressPo Box 1330Cascade, ID 83611-1330 · (208) 382-4285 · Fax (208) 382-5081
Phone(208) 382-4285
Fax(208) 382-5081
Sole ProprietorNo
Enumeration DateNovember 13, 2013
Last NPPES UpdateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
✔ NPI 1992135818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · LCSW-37639
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
402 LAKE CASCADE PKWY, Cascade, ID 83611
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jamie Tisa Coffey-kelly Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jamie Coffey-kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Glenns Ferry Health Center, Inc.
107 mi
Federally Qualified Health Center (FQHC)
120 DESERT SAGE WAY
Mountain Home, ID 83647
  • Reassigned Medicare billing, Idaho enrollment
  • 21 clinicians in this Medicare group
NPI 1518097047 (208) 587-3988

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

CASCADE MEDICAL CENTER HOSPITAL DISTRICT
Clinic/Center (Rural Health)
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-4242
ALISON LEIGH ROEHNER DPT
Physical Therapist
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-3862
VICTORIA M FRYAR LCSW
Social Worker (Clinical)
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-4285
CASCADE MEDICAL CENTER
Non-Pharmacy Dispensing Site
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (952) 653-2565
RONALD K ELLSWORTH MD
Family Medicine
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-4242
MRS. KATHERINE FARMER TDPT
Physical Therapist
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-3862
JULIE MARIE MILLS DO
Emergency Medicine
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-4242
MRS. HEATHER SUE LEWIS PA-C
Physician Assistant
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-4285

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 Jamie Coffey-kelly's NPI number?

The NPI number for Jamie Coffey-kelly is 1992135818. It was assigned to this individual provider in the NPPES registry on November 13, 2013.

Where is Jamie Coffey-kelly located?

Jamie Coffey-kelly practices at 402 Lake Cascade Pkwy, Cascade, ID 83611. The listed phone number is (208) 382-4285.

What is Jamie Coffey-kelly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jamie Coffey-kelly enrolled in Medicare?

Yes. Jamie Coffey-kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jamie Coffey-kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Coffey-kelly reassigns Medicare benefits to Glenns Ferry Health Center, Inc. (Mountain Home, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jamie Coffey-kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamie Coffey-kelly accept?

Health plans from PacificSource Health Plans, Providence Health Plan and Select Health list Jamie Coffey-kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jamie Coffey-kelly was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.