Christopher J Coleman, LPC, CSAC, MAC, CCDP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701006732 Issued in VA

Practice address

192543 Rogers Clark Boulevard
Ruther Glen, VA 22546-3454

Phone

(804) 633-9997

NPI assigned

Sep 14, 2016

Sex

Male

Sole proprietor

Yes

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

Enrolled in VA

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Youth for Tomorrow New Life Center IncGroup PAC ID 1951673227, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Youth for Tomorrow New Life Center, Inc.

  • Psychiatric Residential Treatment Facility
  • Bristow, VA
  • NPI 1316118292

  Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1144778614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 LANDCASTLE DR",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192543 ROGERS CLARK BOULEVARD",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225463454",
            "telephone_number": "804-633-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LPC, CSAC, MAC, CCDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Christian Health Center
• Caroline Outpatient Program
• Caroline Pediatrics PLC
• Lane Catlett, ATC, VATL
• Antonio O'Neil Clinkscales
• D & D Transportation LLC
• Kim Dabney
• Chris Davis
• Joyce Delneky, M.D.
• Christine Marie Desiderati, LPC

• Professional Counselor in Ruther Glen, VA
• Providers in Ruther Glen, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.