Active NPI
Charn Maree Coonan
- Counselor
- San Francisco, CA
National Provider Identifier
1750613766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2513 24TH St
San Francisco, CA 94110-3556 - Phone
- (415) 642-5968
- NPI assigned
- Feb 2, 2010
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2513 24TH St
San Francisco, CA 94110-3556
Mailing address
2513 24TH St
San Francisco, CA 94110-3556
Phone (415) 642-5968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260603000302 | MI | Practitioner - Qualified Speech Language Pathologist | 3678044419 | Practice locations: Chelsea, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19350 Ivey Rd
Chelsea, MI 48118-9477
Phone (415) 939-4221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1750613766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2513 24TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103556",
"telephone_number": "415-642-5968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2513 24TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103556",
"telephone_number": "415-642-5968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONAN",
"first_name": "CHARN",
"middle_name": "MAREE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-02",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.