Individual provider Active NPI

Janna Coleman, M.ED., LPC-S, NCC

  • Professional Counselor
  • Oxford, MS
National Provider Identifier
1356858658
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2089 Issued in MS
Practice address
507 Heritage Dr Ste 102
Oxford, MS 38655-5571
Phone
(662) 481-2725
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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 2089 MS Primary

Addresses

Primary practice location

507 Heritage Dr Ste 102
Oxford, MS 38655-5571

Mailing address

78 County Road 401
Oxford, MS 38655-8274
Phone (662) 416-1509

Other practice location 1

202 Enterprise Dr
Oxford, MS 38655-2761
Phone (662) 371-1711

Other practice location 2

202 Enterprise Dr
Oxford, MS 38655-2761
Phone (662) 371-1711

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2089MSMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1356858658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 COUNTY ROAD 401",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386558274",
            "telephone_number": "662-416-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HERITAGE DR STE 102",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555571",
            "telephone_number": "662-481-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386552761",
            "country_code": "US",
            "telephone_number": "662-371-1711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386552761",
            "country_code": "US",
            "telephone_number": "662-371-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JANNA",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPC-S, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.