Individual provider Active NPI

Donna Renee Coleman, PRSS

  • Peer Specialist
  • Kenova, WV
National Provider Identifier
1376252148
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
21-9144 Issued in WV
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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
21-9144WVMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Contemplations Behavioral Health Services Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 21-9144 WV Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.