Claudette Lashawne Coleman, RADT1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1308380518 Issued in CA

Practice address

5855 Streamview Dr
San Diego, CA 92105-3910

Phone

(619) 287-5460

NPI assigned

Apr 2, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Twelfth Step House of San Diego, Inc.

  dba Heartland House

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1881723344
  NPD (past)

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1942839865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 STREAMVIEW DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921053910",
            "telephone_number": "619-287-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 STREAMVIEW DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921053910",
            "telephone_number": "619-287-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CLAUDETTE",
        "middle_name": "LASHAWNE",
        "credential": "RADT1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1308380518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDICAL",
            "identifier": "95-2151829",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela D Coleman-Delaney
• Andre Coleman
• Azucena R Coleman, RN
• Benjamin Philip Coleman, PH.D.
• Carlos M. Coleman, IDC
• Dale Coleman, PSYD, LMFT
• Danesha Coleman
• Lori A Coleman, MD
• Marizza Mechel Coleman
• Nelda K. Coleman, RN, PMHNP

• Addiction (Substance Use Disorder) Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.