Active NPI
Brielle Amaris Coleman
- Counselor
- West Hartford, CT
National Provider Identifier
1821741166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 36 Ardmore Rd
West Hartford, CT 06119-1201 - Phone
- (860) 759-4564
- NPI assigned
- Jan 27, 2022
- 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
36 Ardmore Rd
West Hartford, CT 06119-1201
Mailing address
36 Ardmore Rd
West Hartford, CT 06119-1201
Phone (860) 759-4564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SHP0971875865 | Other | CT | ANTHEM |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1821741166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 ARDMORE RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191201",
"telephone_number": "860-759-4564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 ARDMORE RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191201",
"telephone_number": "860-759-4564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "BRIELLE",
"middle_name": "AMARIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-27",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "SHP0971875865",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.