Mica Coleman, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178010374 Issued in IL

Practice address

5800 Allemong Dr
Matteson, IL 60443-1108

Phone

(708) 674-9417

NPI assigned

Oct 16, 2020

Sex

Female

Sole proprietor

Yes

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

TMH Behavioral Services PCGroup PAC ID 2264737618, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• TMH Behavioral Services P.C.

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1164997284
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1427656859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 ALLEMONG DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431108",
            "telephone_number": "708-674-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 ALLEMONG DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431108",
            "telephone_number": "708-674-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MICA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178010374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Claiborne
• Zenobia Clark, FNP-C
• Nora J Clisham, M.S., SLP-CCC
• Lauren Cobb, MA, LPC, QMHP
• Helene Cohn, R.N.
• Demetria Collins-Whitaker, CCC-SLP/L
• Comet Home Healthcare, Inc
• Comfortlynk LLC
• Compassionate Health Services LLC
• Comprehensive Weight Management Center LLC.

• Counselor in Matteson, IL
• Providers in Matteson, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.