Lavern L Coleman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CMHT Issued in MS

Practice address

317 W Race St
Rolling Fork, MS 39159-2623

Phone

(662) 873-6228

Fax

(662) 873-2244

NPI assigned

Dec 5, 2025

Last updated

Dec 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delta Community Mental Health Services

  • Community/Behavioral Health Agency
  • Rolling Fork, MS
  • NPI 1942327515
  NPD (past)

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1104789239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 BROWNING ROAD 520",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389306022",
            "telephone_number": "662-451-6211",
            "fax_number": "662-455-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W RACE ST",
            "city": "ROLLING FORK",
            "state": "MS",
            "postal_code": "391592623",
            "telephone_number": "662-873-6228",
            "fax_number": "662-873-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "LAVERN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "CMHT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnny Brown, R.N.
• Emily Foreman Carter, PA-C
• Susan Caselli, CFNP
• Central Ms Civic Improvement Association, Inc (JHCHC - South Delta High School)
• James Andrew Cheatham, RPH
• Deer Creek Pharmacy LLC (Deep Delta Drugs)
• Delta Community Mental Health Services
• Delta Health Center, Inc.
• Kiona J Dorsey, PT
• Dr. Danny W Jackson D.O. PA

• Mental Health Counselor in Rolling Fork, MS
• Providers in Rolling Fork, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.