Individual provider Active NPI

Jaxon R. Coleman, LPC

  • Professional Counselor
  • Lancaster, WI
National Provider Identifier
1407764301
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9162-226 Issued in WI
Practice address
200 W Alona LN
Lancaster, WI 53813-2202
Phone
(608) 723-6357
Fax
(608) 723-4417
NPI assigned
Aug 31, 2026
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 9162-226 WI Primary

Addresses

Primary practice location

200 W Alona LN
Lancaster, WI 53813-2202

Mailing address

200 W Alona LN
Lancaster, WI 53813-2202
Phone (608) 723-6357

Other practice location 1

1122 Professional Dr
Dodgeville, WI 53533-1176
Phone (608) 935-2776

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

State licenses

LicenseStateTypeSpecialty
9162-226WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1407764301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ALONA LN",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132202",
            "telephone_number": "608-723-6357",
            "fax_number": "608-723-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ALONA LN",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132202",
            "telephone_number": "608-723-6357",
            "fax_number": "608-723-4417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1122 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Dodgeville",
            "state": "WI",
            "postal_code": "535331176",
            "country_code": "US",
            "telephone_number": "608-935-2776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JAXON",
        "middle_name": "R.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "9162-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.