Kanesha Elayne Coleman, LCAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2029 Issued in NC

Practice address

930 N Patterson Ave
Winston Salem, NC 27101-1546

Phone

(336) 722-9951

Fax

(336) 722-5834

NPI assigned

Feb 23, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1386779825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 VISTA CT APT B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271061967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N PATTERSON AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011546",
            "telephone_number": "336-722-9951",
            "fax_number": "336-722-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "KANESHA",
        "middle_name": "ELAYNE",
        "credential": "LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCSAPPB",
            "identifier": "2029",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Cole, NP
• Rachel Cole
• Alexis Coleman
• Emily Coleman, DPT
• Gabriel Morgan Coleman, DO
• Lynn Lemcke Coleman, EDD
• Laura Lynn Coles, CPP, PHARMD
• Thomas Vernon Coles III
• Howard Spencer Coletrain, LPTA
• Charles Cleveland Colhoun Jr., CRNA

• Addiction (Substance Use Disorder) Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.