Thomas Earl Coleman, PHD
Individual provider Active NPI Professional Counselor · Thomasville, NC
NPI 1912960683 · NPPES record last updated Sep 13, 2008
Key facts
- NPI
- 1912960683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 635 (NC)
- Practice address
- 608 Burke TRL
Thomasville, NC 27360-2902 - Phone
- (336) 472-3500
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 635 | NC | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onehealth Behavioral Care Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 101 | NC | |
| Professional Counselor | 101YP2500X | 635 | NC | Yes |
Addresses
Primary practice location
608 Burke TRL
Thomasville, NC 27360-2902
Mailing address
608 Burke TRL
Thomasville, NC 27360-2902
Phone (336) 472-3500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010699945 | Other | NC | HEALTHCARE SAVINGS -MGD. |
| 149114 | Other | NC | VALUEOPTIONS - MGD. CARE |
| 180615 | Other | NC | MANAGED HEALTH NETWORK |
| 21190751354 | Other | NC | BEECH STREET - INS. |
| 294671 | Other | NC | MAGELLAN BEH. HEA. -MGD. |
| 5267686 | Other | NC | FIRSTHEALTH - INSURANCE |
| 294671 | Other | NC | AETNA U.S. HEALTHCARE INS |
| 719313 | Other | NC | CCN - INS. |
| 95160 | Other | NC | MEDCOST - 3RD PARTY ADM. |
| 1053159 | Other | NC | CIGNA BEH. HEA.-MGD. CARE |
| 7342103 | Other | NC | AETNA INC. - INSURANCE |
| 6102026 | Medicaid | NC | |
| 010699945 | Other | NC | HORIZON BEH SERVICES -MGD |
| 32158-01 | Other | NC | CAROLINA BEH. HEA. ALLIAN |
| 010699945 | Other | NC | UNITED BEHAVIORAL HEALTH |
| 188957 | Other | NC | COMPSYCH - MGD. CARE |
| 23625 | Other | NC | BLUE CROSS BLUE SHIELD |
Other providers in Thomasville, NC
- Ashley Hudgins Clark
- Katherine J. Clark
- Mariana Jackelin Claros Tineo
- Rodney Cline
- Halee Huneycutt Clontz
- Hunter Joseph Collins
- Kevin Richard Collmar
- Community Handicapped Transportation Services, LLC
- Jessica Rose Conner
- Continuum II Home Health & Hospice, Inc.
All providers in Thomasville, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.