Individual provider Active NPI

Ashley N. Gibson Coleman, LPC-I

  • Mental Health Counselor
  • Arlington, TX
National Provider Identifier
1295352045
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
80866 Issued in TX
Practice address
3901 Arlington Highlands Blvd Ste 293
Arlington, TX 76018-6036
Phone
(817) 564-2007
NPI assigned
Jun 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 80866 TX Primary

Addresses

Primary practice location

3901 Arlington Highlands Blvd Ste 293
Arlington, TX 76018-6036

Mailing address

3901 Arlington Highlands Blvd Ste 293
Arlington, TX 76018-6036
Phone (817) 564-2007

Other identifiers 1

IdentifierTypeStateIssuer
80866OtherTXLICENSE NUMBER

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
80866TXMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1295352045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 ARLINGTON HIGHLANDS BLVD STE 293",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760186036",
            "telephone_number": "817-564-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 ARLINGTON HIGHLANDS BLVD STE 293",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760186036",
            "telephone_number": "817-564-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON COLEMAN",
        "first_name": "ASHLEY",
        "middle_name": "N.",
        "credential": "LPC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "80866",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; 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.