Active NPI
Michael Beattie Coleman, LADC
- Addiction (Substance Use Disorder) Counselor
- Enid, OK
National Provider Identifier
1235451022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 502
- Practice address
- 404 N Grand St
Enid, OK 73701-3215 - Phone
- (580) 747-5327
- NPI assigned
- Feb 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 502 | OK | Primary |
Addresses
Primary practice location
404 N Grand St
Enid, OK 73701-3215
Mailing address
1939 Arapaho Dr
Enid, OK 73703-7666
Phone (580) 747-5327
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 502 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1235451022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 ARAPAHO DR",
"city": "ENID",
"state": "OK",
"postal_code": "737037666",
"telephone_number": "580-747-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 N GRAND ST",
"city": "ENID",
"state": "OK",
"postal_code": "737013215",
"telephone_number": "580-747-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "MICHAEL",
"middle_name": "BEATTIE",
"name_prefix": "Mr.",
"credential": "LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.