Active NPI
Tasha Coleman, MA, LPC
- Professional Counselor
- Evergreen Park, IL
National Provider Identifier
1619322872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.011937
- Practice address
- 3317 W 95TH St
Suite #101
Evergreen Park, IL 60805-2243 - Phone
- (708) 529-3011
- Fax
- (708) 529-3207
- NPI assigned
- Apr 25, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.011937 | IL | Primary |
Addresses
Primary practice location
3317 W 95TH St
Suite #101
Evergreen Park, IL 60805-2243
Mailing address
3317 W 95TH St
Suite #101
Evergreen Park, IL 60805-2243
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.011937 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1619322872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3317 W 95TH ST",
"address_2": "SUITE #101",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3317 W 95TH ST",
"address_2": "SUITE #101",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052243",
"telephone_number": "708-529-3011",
"fax_number": "708-529-3207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "TASHA",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-25",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.011937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evergreen Park, IL
- CMP Counseling, PLLC
- Kara Jeanice Cobb, LSW
- Christine Marie Cochrane
- Brandon Cohen, DMD
- Colleen Marie Coleman
- Colleen Collins-Suglich, PT
- Emily Connolly, MOTR/L
- Consultants in Cardiology & Electrophysiololgy LLC
- Consultants in Clinical Pathology
- Consultants in Laboratory Medicine and Pathology, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.