Individual provider Active NPI

Anne Elizabeth Wilson Coleman, LPC

  • Professional Counselor
  • Kimberling City, MO
National Provider Identifier
1265696249
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2008000490 Issued in MO
Practice address
2 Hickory Dr
Kimberling City, MO 65686-9654
Phone
(417) 739-2987
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2008000490 MO Primary

Addresses

Primary practice location

2 Hickory Dr
Kimberling City, MO 65686-9654

Mailing address

2 Hickory Dr
Kimberling City, MO 65686-9654
Phone (417) 739-2987

Other names 1

  • Anne Coleman Professional name

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

LicenseStateTypeSpecialty
2008000490MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1265696249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HICKORY DR",
            "city": "KIMBERLING CITY",
            "state": "MO",
            "postal_code": "656869654",
            "telephone_number": "417-739-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HICKORY DR",
            "city": "KIMBERLING CITY",
            "state": "MO",
            "postal_code": "656869654",
            "telephone_number": "417-739-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON COLEMAN",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2008000490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "COLEMAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kimberling City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.