Kenya Coleman

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KENYA COLEMAN

Doing business as

Black Pearl Therapeutic Agency

Practice address

1050 Connecticut Ave NW
10TH Floor
Washington, DC 20036-5303

Phone

(202) 772-4162

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Kenya D Coleman, LICSWNPI 1578679635

Title

Owner/Operator

Phone

(254) 216-1733

Specialties & licenses 3

Addresses

Other names 1

• Black Pearl Therapeutic Agency Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenya D Coleman, LICSW

  • Clinical Social Worker
  • Hyattsville, MD
  • NPI 1578679635
  NPD (past) Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1245346311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CONNECTICUT AVE NW",
            "address_2": "10TH FLOOR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365303",
            "telephone_number": "202-772-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CONNECTICUT AVE NW",
            "address_2": "10TH FLOOR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365303",
            "telephone_number": "202-772-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENYA COLEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "254-216-1733",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "DC",
            "license": "LC50078237",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "DC",
            "license": "LC50078237",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Pearl Therapeutic Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Kent
• Claire Victoria Kent, PA-C
• Shawntay Kent
• Lauren Kenworthy, PHD
• Tiffany L Kenworthy, ATC
• Saly Keou
• Marie Laure Kepawou Epse Tekou
• Bruno Hyppolite Kepsu Nana
• Linda Peris-Moraa Kerandi, MD
• Anastassia Kerasidis, MD

• Community/Behavioral Health Agency in Washington, DC
• Providers in Washington, DC by specialty
• Community/Behavioral Health Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.