Active NPI
Susanne Terri Coleman, PH.D., L.M.F.T.,
- Marriage & Family Therapist
- Oakland Park, FL
National Provider Identifier
1073059788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT1725
- Practice address
- 3455 NE 12TH Ter Ste 9
Oakland Park, FL 33334-4534 - Phone
- (954) 644-9331
- NPI assigned
- Jan 19, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT1725 | FL | Primary |
Addresses
Primary practice location
3455 NE 12TH Ter Ste 9
Oakland Park, FL 33334-4534
Mailing address
2725 NE 25TH St
Ft Lauderdale, FL 33305-1701
Phone (954) 644-9331
Other practice location 1
2725 NE 25th St
Ft Lauderdale, FL 33305-1701
Phone (954) 644-9331
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT1725 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1073059788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 NE 25TH ST",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333051701",
"telephone_number": "954-644-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 NE 12TH TER STE 9",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333344534",
"telephone_number": "954-644-9331"
}
],
"practiceLocations": [
{
"address_1": "2725 NE 25th St",
"address_purpose": "LOCATION",
"city": "Ft Lauderdale",
"state": "FL",
"postal_code": "333051701",
"country_code": "US",
"telephone_number": "954-644-9331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "SUSANNE",
"middle_name": "TERRI",
"name_prefix": "Dr.",
"credential": "PH.D., L.M.F.T.,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT1725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.