Coretha Marie Claiborn, CSAC,MAC,SAP,LSATP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0718000231 Issued in VA

Practice address

700 S. Sycamore Street
Suite 6
Petersburg, VA 23234

Phone

(804) 855-8625

NPI assigned

Feb 29, 2008

Last updated

Mar 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Claiborn & Associates Inc.

  • Addiction (Substance Use Disorder) Counselor
  • North Chesterfield, VA
  • NPI 1083464531
  Medicare reassignment NPD
• CSS & Associates LLC

  • Addiction (Substance Use Disorder) Counselor
  • North Chesterfield, VA
  • NPI 1962878322
  NPD (past) Authorized official

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1942479381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7053 OMALLEY DRIVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23234",
            "telephone_number": "804-275-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S. SYCAMORE STREET",
            "address_2": "SUITE 6",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23234",
            "telephone_number": "804-855-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIBORN",
        "first_name": "CORETHA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CSAC,MAC,SAP,LSATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710101777",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Chong, RPH
• Shauna Holland Christian, LPC, CSAC
• Michael W Cieslinski, M.D.
• City of Petersburg
• Citywide Transportation LLC
• Laykeia Kapri Clanton
• Monique Alteriss Clark, QMHP
• Sonja Clark
• Beverly Clarke
• Shawnae Claxton, LPN

• Addiction (Substance Use Disorder) Counselor in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.