Joan Michelle Coles, MS APC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC006716 Issued in GA

Practice address

4343 Shallowford Rd Ste H4B
Marietta, GA 30062-5008

Phone

(678) 740-3757

NPI assigned

Jan 20, 2020

Last updated

Jan 20, 2020By the provider in NPPES

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sprout to Bloom Wellness Incorporated

  dba Sprout to Bloom Wellness

  • Mental Health Counselor
  • Roswell, GA
  • NPI 1245078732
  NPD Authorized official
• Counseling, Coaching, and Consulting Plus

  • Mental Health Counselor
  • Marietta, GA
  • NPI 1750866224
  NPD (past)

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1457981375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 THE OAKS",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300211272",
            "telephone_number": "678-697-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD STE H4B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625008",
            "telephone_number": "678-740-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLES",
        "first_name": "JOAN",
        "middle_name": "MICHELLE",
        "credential": "MS APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC006716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamikca Kassina Coleman
• Jessica Coleman
• Lia Coleman
• Rudi Maria Coleman, L.C.S.W.
• Pamela G Colemon, LPN
• Jeffrey C Colier, AA
• Diane Coll, LPC, MT-BC
• Adrian Collazo, DC
• Colleen L Hagan LCSW Inc
• Colleen Walsh, LPC, LLC

• Professional Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.