Jessica Coleman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

81098 Issued in TX

Practice address

137 Laxton Rd Ste 200
Lynchburg, VA 24502-5294

Phone

(434) 515-2041

NPI assigned

May 23, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jessica Graham Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

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.

• Creekside Therapeutics

  • Professional Counselor
  • Lynchburg, VA
  • NPI 1902593015

  Behavior Analyst

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1548797459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 EDINBORO AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025321",
            "telephone_number": "972-638-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 LAXTON RD STE 200",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025294",
            "telephone_number": "434-515-2041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2116 Edinboro Ave",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245025321",
            "country_code": "US",
            "telephone_number": "434-515-2041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Walnut Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245034778",
            "country_code": "US",
            "telephone_number": "434-515-2041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002370",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GRAHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles H Coggin III, MD
• Caroline N Cohen, COTA
• Christopher Cole
• Hisae Cole
• Marcia Megan Cole, PA-C
• Mary Coleman, NP
• Melissa Coleman, FNP-C
• Mark Colkitt, PT
• Landon James Colling, MD
• Joseph Collins, ATC

• Mental Health Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.

Verify at the official NPI Registry.