Christie Lacole Coleman-Wilson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

10609 E Washington St Ste E
Indianapolis, IN 46229-2661

Phone

(317) 319-1832

Fax

(317) 644-0348

NPI assigned

Dec 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lenora Care

  • In Home Supportive Care Agency
  • Indianapolis, IN
  • NPI 1750150223
  NPD Authorized official
• Shaping & Empowering Families LLC

  • Community/Behavioral Health Agency
  • Indianapolis, IN
  • NPI 1417355744
  NPD Authorized official

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1316345689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 E WASHINGTON ST STE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292661",
            "telephone_number": "317-319-1832",
            "fax_number": "317-644-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10609 E WASHINGTON ST STE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292661",
            "telephone_number": "317-319-1832",
            "fax_number": "317-644-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN-WILSON",
        "first_name": "CHRISTIE",
        "middle_name": "LACOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201268090A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccwilson@sefams.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10609 E Washington St Ste E",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462292661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard A Cole
• Stacie Cole, PA
• Tameka M Cole, LMHC
• Yolanda Cole
• Chesney Coleman-Miller
• Aletha Coleman, RN
• Amy Coleman
• Andrenique Coleman, MASSAGE THERAPIST
• Anglea Marie Coleman, LCSW
• Cailin Coleman, LCSW

• Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.