Active NPI
Cynthia Coleman Job Coaching Service
- Child Mental Illness Respite Care
- Memphis, TN
National Provider Identifier
1669058996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Mental Illness Respite Care
- Legal business name
- CYNTHIA COLEMAN JOB COACHING SERVICE
- Doing business as
- Cynthia Coleman Job Coaching Service
- Practice address
- 1201 Pera Dr
Memphis, TN 38127-5217 - Phone
- (901) 653-0255
- Fax
- (901) 653-0255
- NPI assigned
- Mar 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Cynthia Coleman, BACHELOR
- Title
- President of Cynthia Coleman Job Co
- Phone
- (901) 653-0255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | Primary |
Addresses
Primary practice location
1201 Pera Dr
Memphis, TN 38127-5217
Mailing address
1201 Pera Dr
Memphis, TN 38127-5217
Phone (901) 653-0255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 824160739 | Other | TN | IDD WAIVER |
| 82-4160739 | Other | TN | IDD WAIVER |
Other names 1
- Cynthia Coleman Job Coaching Service
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616025600000",
"number": "1669058996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 PERA DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381275217",
"telephone_number": "901-653-0255",
"fax_number": "901-653-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 PERA DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381275217",
"telephone_number": "901-653-0255",
"fax_number": "901-653-0255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYNTHIA COLEMAN JOB COACHING SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-18",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "PRESIDENT OF CYNTHIA COLEMAN JOB CO",
"authorized_official_telephone_number": "901-653-0255",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "BACHELOR"
},
"taxonomies": [
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDD WAIVER",
"identifier": "824160739",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDD WAIVER",
"identifier": "82-4160739",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cynthia Coleman Job Coaching Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.