Robert Eugene Coleman, M.ED.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717000178 Issued in VA

Practice address

1158 Professional Dr Ste M
Williamsburg, VA 23185-6618

Phone

(757) 258-5700

Fax

(757) 253-2884

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1972591972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231870819",
            "telephone_number": "757-258-5700",
            "fax_number": "757-253-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 PROFESSIONAL DR STE M",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231856618",
            "telephone_number": "757-258-5700",
            "fax_number": "757-253-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000044",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701000627",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5407800",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Charlier Coleman, C.P.N.P., R.N.
• Debra Taylor Coleman, LCSW
• James Michael Coleman, DDS
• Laura Coleman, DPT
• Lisa K Coleman, APRN
• Shentway Kentoya Coleman
• Kimberly Coles
• College of William & Mary
• Colonial Aesthetics & Wellness
• Colonial Behavioral Health

• Marriage & Family Therapist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.