Active NPI
Bryanca Aurielle' Coleman
- Professional Counselor
- Baton Rouge, LA
National Provider Identifier
1043666290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6869
- Practice address
- 8706 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2233 - Phone
- (225) 926-9706
- NPI assigned
- May 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Manager/Care Coordinator | 171M00000X | LA | ||
| Professional Counselor | 101YP2500X | 6869 | LA | Primary |
Addresses
Primary practice location
8706 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2233
Mailing address
8706 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2233
Phone (504) 812-4245
Other practice location 1
1120 Government St Bldg E
Baton Rouge, LA 70802-4802
Phone (225) 364-2550
Other practice location 2
6641 Government St
Master of Arts in Mental Health Counseling
Baton Rouge, LA 70806-4277
Phone (225) 926-9706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6869 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1043666290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8706 JEFFERSON HWY STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708092233",
"telephone_number": "504-812-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8706 JEFFERSON HWY STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708092233",
"telephone_number": "225-926-9706"
}
],
"practiceLocations": [
{
"address_1": "1120 Government St Bldg E",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708024802",
"country_code": "US",
"telephone_number": "225-364-2550",
"fax_number": "225-364-2235",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6641 Government St",
"address_2": "Master of Arts in Mental Health Counseling",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708064277",
"country_code": "US",
"telephone_number": "225-926-9706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "BRYANCA",
"middle_name": "AURIELLE'",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "6869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.