Jared Coffman
Jared Coffman is a Clinical Social Worker provider (Social Worker) practicing in Bourbonnais, IL, registered in the NPPES registry with NPI 1174297071 since 2021. Practices at Coffman Counseling LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174297071 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jared Coffman |
| Sex | Male |
| Practice address | 763 REVERE ST, Bourbonnais, IL, 60914 |
| Phone | 8155490981 |
| Enumeration date | 2021-08-04 |
| Last updated in NPPES | 2021-08-04 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 104100000X | Social Worker | Secondary | — | — |
| 1041C0700X | Clinical Social Worker | Primary | — | — |
Copy-ready billing details
Provider: Jared Coffman NPI: 1174297071 Taxonomy: 1041C0700X (Clinical Social Worker) Address: 763 REVERE ST, Bourbonnais, IL, 60914
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740958172 | Coffman Counseling LLC | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Bourbonnais, IL |
Verify this record
Cross-check NPI 1174297071 against the authoritative CMS record: view Jared Coffman on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-08-04.