Kelly Lynn Coleman, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

12458A Issued in NC

Practice address

16607 Riverstone Way
BLDG 200, Office# 210
Charlotte, NC 28277

Phone

(704) 290-6082

NPI assigned

Sep 20, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Brighter Prospects Couples Counseling, PLLC

  • Marriage & Family Therapist
  • Charlotte, NC
  • NPI 1912620741
  NPD Authorized official

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1407579055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 MACROOM CT",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281040600",
            "telephone_number": "704-900-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 RIVERSTONE WAY",
            "address_2": "BLDG 200, OFFICE# 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-290-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12458A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Charles Coleman, MD
• Jacquetta Reshon Coleman
• Jalisa Marie Coleman, NCC, LCMHC
• Janet Ann Coleman, R.N.
• Karena Stone Coleman, RPH
• Laquita Coleman
• Madeleine Coleman, LCSW
• Marissa Coleman
• Meaghan Coleman
• Megan Lee Ducker Coleman, PHARMD

• Marriage & Family Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.