Individual provider Active NPI

Nanette Carol Coleman, LMFT, CPLC

  • Marriage & Family Therapist
  • Maricopa, AZ
National Provider Identifier
1124564398
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
150962 Issued in CA
Practice address
41362 W Walker Way
Maricopa, AZ 85138
Phone
(310) 283-0418
Fax
(520) 635-5467
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 150962 CA Primary

Addresses

Primary practice location

41362 W Walker Way
Maricopa, AZ 85138

Mailing address

41362 W Walker Way
Maricopa, AZ 85138
Phone (310) 283-0418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
National University of Arts and Sciences, Medical Department, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Lynwood, CA 90262
Phone (310) 283-0418

41362 W Walker Way
Maricopa, AZ 85138-7291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150962CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Advances in Coping Education Inc Single Specialty PastSince Jun 1, 1998 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1124564398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41362 W WALKER WAY",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "85138",
            "telephone_number": "310-283-0418",
            "fax_number": "520-759-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41362 W WALKER WAY",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "85138",
            "telephone_number": "310-283-0418",
            "fax_number": "520-635-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "NANETTE",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LMFT, CPLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

Verify at the official NPI Registry.