Active NPI
Marchell Coleman
- Professional Counselor
- Mableton, GA
National Provider Identifier
1942465240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005250
- Practice address
- 6606 Arbor Gate Dr SW
Mableton, GA 30126-4462 - Phone
- (770) 256-6195
- NPI assigned
- Jul 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC005250 | GA | Primary |
Addresses
Primary practice location
6606 Arbor Gate Dr SW
Mableton, GA 30126-4462
Mailing address
6606 Arbor Gate Dr SW
Mableton, GA 30126-4462
Phone (770) 256-6195
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 |
|---|---|---|---|
| LPC005250 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1942465240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6606 ARBOR GATE DR SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301264462",
"telephone_number": "770-256-6195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6606 ARBOR GATE DR SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301264462",
"telephone_number": "770-256-6195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "MARCHELL",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-25",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mableton, GA
- City Medical Supply Inc.
- Clinical Intervention Specialists
- Cobb Family Dentistry, LLC
- Lawrence Cohen
- Kara Beckett Coleman, LCSW
- Community Dental Services Inc
- Compassionate Companions Healthcare Services
- Compassionate Mental Health and Counseling Support Services LLC
- Compassionate Pulse Home Care Services, LLC
- Complete Medical Supply&Equipment;LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.