Active NPI
Courtney Coleman, M. ED.
- Counselor
- Sacramento, CA
National Provider Identifier
1124417209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 650 Howe Ave # 400-a
Sacramento, CA 95825-4731 - Phone
- (916) 517-9672
- NPI assigned
- Jan 13, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
650 Howe Ave # 400-a
Sacramento, CA 95825-4731
Mailing address
9343 Tech Center Dr
Sacramento, CA 95826-2563
Other practice location 1
11035 NE Sandy Blvd
Portland, OR 97220-2553
Phone (503) 258-4200 ext. 4694
Other practice location 2
9343 Tech Center Dr
Sacramento, CA 95826-2563
Phone (559) 816-4781
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
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1124417209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9343 TECH CENTER DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958262563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HOWE AVE # 400-A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958254731",
"telephone_number": "916-517-9672"
}
],
"practiceLocations": [
{
"address_1": "11035 NE Sandy Blvd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972202553",
"country_code": "US",
"telephone_number": "503-258-4200 x4694",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9343 Tech Center Dr",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958262563",
"country_code": "US",
"telephone_number": "559-816-4781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "COURTNEY",
"credential": "M. ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.