Jalisa Marie Coleman, NCC, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13386 Issued in NC

Practice address

1511 Kenilworth Ave # Unite315
Charlotte, NC 28203-1508

Phone

(196) 219-7719

NPI assigned

Oct 11, 2017

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

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1134639594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 KENILWORTH AVE # UNITE315",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282031508",
            "telephone_number": "196-219-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 KENILWORTH AVE # UNITE315",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282031508",
            "telephone_number": "196-219-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JALISA",
        "middle_name": "MARIE",
        "credential": "NCC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionne Coleman, FNP
• Eric Coleman
• Grant G Coleman, DMD,MS
• Jacob Charles Coleman, MD
• Jacquetta Reshon Coleman
• Janet Ann Coleman, R.N.
• Karena Stone Coleman, RPH
• Kelly Lynn Coleman, LMFTA
• Laquita Coleman
• Madeleine Coleman, LCSW

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, 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 Oct 15, 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.