Kimberly Drew Colgan, NCC, LCMHC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16850 Issued in NC

Practice address

1903 N Harrison Ave Ste 100
Cary, NC 27513-3003

Phone

(919) 463-7890

Fax

(919) 463-7665

NPI assigned

Sep 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1083384085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 N HARRISON AVE STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133003",
            "telephone_number": "919-463-7890",
            "fax_number": "919-463-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 N HARRISON AVE STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133003",
            "telephone_number": "919-463-7890",
            "fax_number": "919-463-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLGAN",
        "first_name": "KIMBERLY",
        "middle_name": "DREW",
        "name_prefix": "Miss",
        "credential": "NCC, LCMHC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HushMail",
            "affiliation": "N",
            "address_1": "1903 N Harrison Ave Ste 100",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275133003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Jeanette Coleman-Talbot, RN, MSN, FNP
• Corey Coleman
• Deante T Coleman
• James Melvin Coleman, RPH
• Kenya Coles-Waller
• Collaborative Care Counseling, PLLC
• Matthew Collen
• Bryson Collins
• Claire Collins
• Courtney Simone Collins

• Mental Health Counselor in Cary, NC
• Providers in Cary, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.