Kathy Bain Coleman, MS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0292L Issued in AR

Practice address

3715 N Business Dr
Suite 104
Fayetteville, AR 72703-5204

Phone

(479) 521-1532

Fax

(479) 521-4971

NPI assigned

Jan 25, 2012

Last updated

Jan 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kathryn Bain Coleman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1841561685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 E JOYCE BLVD",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034714",
            "telephone_number": "479-575-9471",
            "fax_number": "479-587-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 N BUSINESS DR",
            "address_2": "SUITE 104",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035204",
            "telephone_number": "479-521-1532",
            "fax_number": "479-521-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "KATHY",
        "middle_name": "BAIN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "0292L",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "COLEMAN",
            "middle_name": "BAIN",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tom Patrick Coker, M.D.
• Ethan Paul Cole
• Jannie C Cole
• Jennifer L Cole, PHARM.D.
• Kaitlin Coleman
• Sharon Seline Coleman, OTRL
• Andrew Coles
• Sara Joy Collie, L.C.S.W.
• Collier Drug Stores Inc (Collier Drug-Dickson)
• Collier Drug Stores Inc (Collier Drug - Dickson)

• Addiction (Substance Use Disorder) Counselor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Addiction (Substance Use Disorder) Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.