Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jerry Todd McCoy

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1154904373

Mr. Jerry Todd McCoy is an Addiction (Substance Use Disorder) Counselor in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2021.

Licensed in
IN
In the registry since
2021

Practice location Address checks out

4705 Meijer Ct
Lafayette, IN 47905-4684
Phone: (765) 701-6060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (IN)

Record details

NPI number1154904373
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021
Mailing address4705 Meijer Ct, Lafayette, IN 47905-4684

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