Individual provider Active NPI

Jennifer M Coleman, MA

  • Mental Health Counselor
  • Bethlehem, PA
National Provider Identifier
1821378134
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC006716 Issued in PA
Practice address
3201 Highfield Drive
St. M
Bethlehem, PA 18020
Phone
(908) 310-9450
NPI assigned
Aug 18, 2011
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC006716 PA Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

3201 Highfield Drive
St. M
Bethlehem, PA 18020

Mailing address

181 Faber Cir
Tannersville, PA 18372-9086
Phone (908) 310-9450

Other practice location 1

961 Marcon Blvd
Suite 312
Allentown, PA 18109-9521
Phone (908) 310-9450

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC006716PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Passionate Thoughts Behavioral Counseling and Evaluation Services, LLC Mental Health CurrentSince Jan 22, 2025 Accepting new patients

Locations

3201 Highfield Dr
Ste M
Bethlehem, PA 18020
Phone (484) 896-0075

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1821378134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 FABER CIR",
            "city": "TANNERSVILLE",
            "state": "PA",
            "postal_code": "183729086",
            "telephone_number": "908-310-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 HIGHFIELD DRIVE",
            "address_2": "ST. M",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18020",
            "telephone_number": "908-310-9450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "961 Marcon Blvd",
            "address_2": "SUITE 312",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181099521",
            "country_code": "US",
            "telephone_number": "908-310-9450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC006716",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.