Individual provider Active NPI

Alicia Coffman, LPC

  • Professional Counselor
  • Allentown, PA
National Provider Identifier
1881133171
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009446 Issued in PA
Practice address
1251 S Cedar Crest Blvd
211D
Allentown, PA 18103-6205
Phone
(610) 432-5066
NPI assigned
Feb 20, 2017
Last updated
Mar 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC009446 PA Primary

Addresses

Primary practice location

1251 S Cedar Crest Blvd
211D
Allentown, PA 18103-6205

Mailing address

4211 Minsi St
Schnecksville, PA 18078-2616

Other practice location 1

1011 Brookside Rd Ste 302
Allentown, PA 18106-9042
Phone (484) 954-7982

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

State licenses

LicenseStateTypeSpecialty
PC009446PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alicia Coffman LLC CurrentSince Nov 17, 2019 Accepting new patients
Center for Integrative Psychotherapy PC PastSince Sep 1, 2011 Accepting new patients

Locations

1011 Brookside Rd
Ste 290
Allentown, PA 18106
Phone (484) 750-6871

1011 Brookside Rd
Ste 302
Allentown, PA 18106
Phone (484) 954-7982

Organizations & group practices 2

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": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1881133171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 MINSI ST",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD",
            "address_2": "211D",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036205",
            "telephone_number": "610-432-5066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Brookside Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181069042",
            "country_code": "US",
            "telephone_number": "484-954-7982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.