Individual provider Active NPI

Mindy Harms-Coleman, LCPC

  • Professional Counselor
  • Swansea, IL
National Provider Identifier
1902055338
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180012007 Issued in IL
Practice address
4933 Benchmark Centre Dr Ste E
Swansea, IL 62226-8927
Phone
(618) 363-2150
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2008018987 MO
Professional Counselor 101YP2500X 180012007 IL Primary

Addresses

Primary practice location

4933 Benchmark Centre Dr Ste E
Swansea, IL 62226-8927

Mailing address

1220 Tanglewood Trce
O Fallon, IL 62269-3111
Phone (618) 363-2150

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
180012007ILMDProfessional Counselor
2008018987MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Centered Counseling LLC CurrentSince Oct 23, 2022 Accepting new patients

Locations

4933 Benchmark Centre Dr
Ste E
Swansea, IL 62226
Phone (314) 348-5209

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1902055338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 TANGLEWOOD TRCE",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693111",
            "telephone_number": "618-363-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 BENCHMARK CENTRE DR STE E",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622268927",
            "telephone_number": "618-363-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMS-COLEMAN",
        "first_name": "MINDY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2008018987",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180012007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.