Samantha Coleman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2429 S Prairie Ave
Pueblo, CO 81005

Phone

(719) 276-7590

NPI assigned

Jul 31, 2008

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• A New Leaf Therapy, PLLC

  • Community/Behavioral Health Agency
  • Pueblo, CO
  • NPI 1194111500
  Medicare reassignment NPD

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1346406196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 S PRAIRIE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052886",
            "telephone_number": "719-276-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 S PRAIRIE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81005",
            "telephone_number": "719-276-7590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Four Mile Pkwy",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812129114",
            "country_code": "US",
            "telephone_number": "719-276-7590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica L Cole, CRNA
• Kirsten Cole, RDH
• Meghan Cole
• Melissa A Cole, PSYD
• Annette Lynn Coleman, MA, LPC
• Richard Collette, DDS
• Courtney A Collings, DDS
• Glenn Jamie Collins, MD
• Pascal Shay Collins, LCSW
• Emily Ann Colon, RDH

• Mental Health Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.