Active NPI
Candace Coleman, LMSW
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1427773050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 106162
- Practice address
- 10228 E Northwest Hwy Unit 325
Dallas, TX 75238-4408 - Phone
- (628) 302-4454
- NPI assigned
- Oct 6, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 106162 | TX | Primary |
Addresses
Primary practice location
10228 E Northwest Hwy Unit 325
Dallas, TX 75238-4408
Mailing address
17000 Bissonnet St Apt 337
Richmond, TX 77407-3591
Phone (601) 622-6604
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 |
|---|---|---|---|
| 106162 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1427773050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17000 BISSONNET ST APT 337",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774073591",
"telephone_number": "601-622-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10228 E NORTHWEST HWY UNIT 325",
"city": "DALLAS",
"state": "TX",
"postal_code": "752384408",
"telephone_number": "628-302-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "CANDACE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "106162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.