Jewel Nicole' Coleman, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2419 Issued in NC

Practice address

214 Haywood St
Raleigh, NC 27601-1526

Phone

(919) 696-0760

NPI assigned

Sep 25, 2012

Last updated

Sep 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jewel Nicole' Coleman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1316298763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HAYWOOD ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011526",
            "telephone_number": "919-696-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HAYWOOD ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011526",
            "telephone_number": "919-696-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JEWEL",
        "middle_name": "NICOLE'",
        "name_prefix": "Ms.",
        "credential": "LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2419",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEWEL",
            "last_name": "COLEMAN",
            "middle_name": "NICOLE'",
            "prefix": "MS.",
            "credential": "CSAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• D'Andra Coleman
• Darnesha Coleman
• Elizabeth Coleman
• George Cameron Coleman Jr., MD
• Jessica Raffaele Coleman, LCSW
• Kevin Maurice Coleman, M.D.
• Kim L Coleman, M.D.
• Michelle Coleman
• Sophie Coleman
• Stephen Ray Coleman, M.D.

• Addiction (Substance Use Disorder) Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.