Active NPI
Donna Renee Coleman, PRSS
- Peer Specialist
- Kenova, WV
National Provider Identifier
1376252148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 21-9144
- Practice address
- 802 Oak St
Kenova, WV 25530-1519 - Phone
- (304) 761-0611
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Huntington, WV
- NPI 1275247660
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-9144 | WV | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contemplations Behavioral Health Services | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 21-9144 | WV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
802 Oak St
Kenova, WV 25530-1519
Mailing address
605 Cypress St
Ravenswood, WV 26164-1403
Phone (304) 761-0611
Other practice location 1
802 Oak St
Kenova, WV 25530-1519
Phone (304) 761-0611
Other practice location 2
605 Cypress St
Ravenswood, WV 26164-1403
Phone (304) 761-0611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2022.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1376252148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 CYPRESS ST",
"city": "RAVENSWOOD",
"state": "WV",
"postal_code": "261641403",
"telephone_number": "304-761-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 OAK ST",
"city": "KENOVA",
"state": "WV",
"postal_code": "255301519",
"telephone_number": "304-761-0611"
}
],
"practiceLocations": [
{
"address_1": "802 Oak St",
"address_purpose": "LOCATION",
"city": "Kenova",
"state": "WV",
"postal_code": "255301519",
"country_code": "US",
"telephone_number": "304-761-0611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "605 Cypress St",
"address_purpose": "LOCATION",
"city": "Ravenswood",
"state": "WV",
"postal_code": "261641403",
"country_code": "US",
"telephone_number": "304-761-0611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "DONNA",
"middle_name": "RENEE",
"credential": "PRSS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2022-12-21",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WV",
"license": "21-9144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenova, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.