Active NPI
Marion Yvonne Coleman, LPC
- Mental Health Counselor
- Mountain BRK, AL
National Provider Identifier
1477847259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC01902
- Practice address
- 3918 Montclair Rd Ste 206
Mountain BRK, AL 35213-2418 - Phone
- (205) 994-2798
- Fax
- (205) 778-5304
- NPI assigned
- Jun 8, 2011
- Last updated
- Nov 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | LPC01902 | AL | Primary |
Addresses
Primary practice location
3918 Montclair Rd Ste 206
Mountain BRK, AL 35213-2418
Mailing address
3918 Montclair Rd Ste 206
Mountain BRK, AL 35213-2418
Phone (205) 994-2798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC01902 | AL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K & F Investments LLC | Current | Accepting new patients | |
| Regimen Pediatric Healthcare LLC | Past | Accepting new patients |
Locations
3918 Montclair Rd
Ste 206
Mountain Brk, AL 35213
Phone (205) 238-5942
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Vestavia, AL
- NPI 1790402600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1477847259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3918 MONTCLAIR RD STE 206",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352132418",
"telephone_number": "205-994-2798",
"fax_number": "205-778-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3918 MONTCLAIR RD STE 206",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352132418",
"telephone_number": "205-994-2798",
"fax_number": "205-778-5304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "MARION",
"middle_name": "YVONNE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-08",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "LPC01902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain BRK, AL
- Kimberly Clark, DPT
- Lauren Roberts Clark, LPC
- Amy Clemmons, LPC
- Jarvis T. Cleveland, LMSW
- Lynne Burton Clifton, LCSW-PIP
- Haleigh Nicole Collins, MS, CF-SLP
- Combs Village Healthcare (Village Healthcare)
- Bryan Patrick Combs, PHD, CRNP, FNP-S
- Comprehensive Pain Center, PC
- Connect Counseling & Consulting LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.