Active NPI
Jennifer Lynn Coleman, LAC, NCC
- Counselor
- Cherry Hill, NJ
National Provider Identifier
1891123964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 37AC00113800
- Practice address
- 499 Cooper Landing Rd
Cherry Hill, NJ 08002-2504 - Phone
- (856) 482-8747
- NPI assigned
- Oct 28, 2013
- 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 | 37AC00113800 | NJ | Primary |
Addresses
Primary practice location
499 Cooper Landing Rd
Cherry Hill, NJ 08002-2504
Mailing address
770 Woodlane Road
Mt. Holly, NJ 08060
Phone (609) 267-5928
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00113800 | NJ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382918400000",
"number": "1891123964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 WOODLANE ROAD",
"city": "MT. HOLLY",
"state": "NJ",
"postal_code": "08060",
"telephone_number": "609-267-5928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 COOPER LANDING RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022504",
"telephone_number": "856-482-8747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LAC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-28",
"last_updated": "2013-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00113800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.