Active NPI
Timothy Coleman, LPC
- Professional Counselor
- El Paso, TX
National Provider Identifier
1407942204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16606
- Practice address
- 6044 Gateway East
Suite 405
El Paso, TX 79905 - Phone
- (915) 779-5600
- Fax
- (915) 779-5605
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16606 | TX | Primary |
Addresses
Primary practice location
6044 Gateway East
Suite 405
El Paso, TX 79905
Mailing address
6044 Gateway East
Suite 405
El Paso, TX 79905
Phone (915) 779-5600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM600035 | Other | NM | VALUE OPTIONS |
| 84597L | Other | TX | BCBS OF TEXAS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16606 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanecer Psychological Services | Past | Accepting new patients | |
| Amanecer Psychological Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Child & Adolescent Psychologist
- El Paso, TX
- NPI 1356435903
-
- Clinical Social Worker
- El Paso, TX
- NPI 1639373566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407942204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6044 GATEWAY EAST",
"address_2": "SUITE 405",
"city": "EL PASO",
"state": "TX",
"postal_code": "79905",
"telephone_number": "915-779-5600",
"fax_number": "915-779-5605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6044 GATEWAY EAST",
"address_2": "SUITE 405",
"city": "EL PASO",
"state": "TX",
"postal_code": "79905",
"telephone_number": "915-779-5600",
"fax_number": "915-779-5605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "TIMOTHY",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "NM600035",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "84597L",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.