Organization Active NPI

Cynthia Coleman Job Coaching Service

  • Child Mental Illness Respite Care
  • Memphis, TN
National Provider Identifier
1669058996
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
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

Updated by the provider on Mar 18, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
824160739OtherTNIDD WAIVER
82-4160739OtherTNIDD WAIVER

Other names 1

  • Cynthia Coleman Job Coaching Service Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.