Peggy Annette Coleman, MS ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1594 Issued in WY

Practice address

201 W Main St Ste 4B
Medford, OR 97501-2734

Phone

(541) 414-1720

NPI assigned

Jul 10, 2013

Last updated

Nov 7, 2017By 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 1

Addresses

Other names 1

• Mrs. Peggy Annette Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Family Solutions

  • Adolescent and Children Mental Health Clinic/Center
  • Medford, OR
  • NPI 1346341427
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1871934570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST STE 4B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012734",
            "telephone_number": "541-414-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST STE 4B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012734",
            "telephone_number": "541-414-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "PEGGY",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "MS ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "ANDERSON",
            "middle_name": "ANNETTE",
            "prefix": "MRS.",
            "credential": "MS ED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Colbert
• Jeffrey James Cole, FNP
• Mary Cole
• Sean Paul Colebrook Jr.
• Caleb James Coleman
• Ryan Thomas Colley, D.O.
• April Collins-Macauley
• Angela Christine Collins
• Cheryl Diane Collins, CADC II
• Dea Nason Collins, MSN, FNP

• Mental Health Counselor in Medford, OR
• Providers in Medford, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.