Mr Roger A Coughlan, LCSW in Ft Collins, CO - Medicare Clinical Social Worker Provider

Mr Roger A Coughlan, LCSW is a medicare enrolled "Marriage & Family Therapist" provider in Ft Collins, Colorado. He graduated from medical school in 1979 and has 46 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Sondermind Provider Network Llc and his current practice location is 760 Whalers Way, C-200, Ft Collins, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 495-4851.

Mr Roger A Coughlan is licensed to practice in Colorado (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356335392.

Contact Information

	Mr Roger A Coughlan, LCSW
	760 Whalers Way, C-200, Ft Collins, CO 80525-3370
	(970) 495-4851
	(970) 204-7883

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Roger A Coughlan
Gender	Male
Speciality	Clinical Social Worker
Experience	46 Years
Location	760 Whalers Way, Ft Collins, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Roger A Coughlan graduated from medical school in 1979

NPI Data:

NPI Number: 1356335392
Provider Enumeration Date: 09/06/2005
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 2567906712
Enrollment ID: I20240628003169

Medical Identifiers

Medical identifiers for Mr Roger A Coughlan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356335392	NPI	-	NPPES
986008	Other	CO	LICENSED SOCIAL WORKER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	986008 (Colorado)	Secondary
106H00000X	Marriage & Family Therapist	(Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sondermind Provider Network Llc	9537572490	874

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Roger A Coughlan allows following entities to bill medicare on his behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Roger A Coughlan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Roger A Coughlan, LCSW 760 Whalers Way, C-200, Ft Collins, CO 80525-3370 Ph: (970) 495-4851	Mr Roger A Coughlan, LCSW 760 Whalers Way, C-200, Ft Collins, CO 80525-3370 Ph: (970) 495-4851

Mr Roger A Coughlan, LCSW - Medicare in Ft Collins, CO