Individual provider Active NPI

Celeste Nacole Coffman, ALC

  • Counselor
  • Florence, AL
National Provider Identifier
1053723973
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C2195A Issued in AL
Practice address
118 E Mobile St
Suite 316
Florence, AL 35630-4782
Phone
(256) 206-2032
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C2195A AL Primary

Addresses

Primary practice location

118 E Mobile St
Suite 316
Florence, AL 35630-4782

Mailing address

118 E Mobile St
Suite 316
Florence, AL 35630-4782
Phone (256) 206-2032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 16, 2025 through Sep 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C2195AALMDCounselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1053723973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E MOBILE ST",
            "address_2": "SUITE 316",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304782",
            "telephone_number": "256-206-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E MOBILE ST",
            "address_2": "SUITE 316",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304782",
            "telephone_number": "256-206-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "CELESTE",
        "middle_name": "NACOLE",
        "name_prefix": "Mrs.",
        "credential": "ALC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "C2195A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.