Active NPI
Lynn Lemcke Coleman, EDD
- Counseling Psychologist
- Winston Salem, NC
National Provider Identifier
1982154449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 11767
- Practice address
- 6173 Glen Way Dr
Winston Salem, NC 27107-3786 - Phone
- (617) 203-8936
- NPI assigned
- Oct 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 4970 | CO | |
| Counseling Psychologist | 103TC1900X | 15175 | ||
| Counseling Psychologist | 103TC1900X | 6405 | NC | |
| Counseling Psychologist | 103TC1900X | 11767 | MA | Primary |
Addresses
Primary practice location
6173 Glen Way Dr
Winston Salem, NC 27107-3786
Mailing address
6173 Glen Way Dr
Winston Salem, NC 27107-3786
Phone (617) 203-8936
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11767 | Other | MA | BOARD OF REGISTRATION OF PSYCHOLOGISTS |
| 15175 | Other | THE PSYPACT COMMISSION | |
| 6405 | Other | NC | NC PSYCHOLOGY BOARD |
| 4970 | Other | CO | COLORADO STATE BOARD OF PSYCHOLOGIST EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Boston University School of Medicine, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3317 Dayton Blvd
Unit 15781
Chattanooga, TN 37415-9998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4970 | CO | MD | Counseling Psychologist |
| 11767 | MA | MD | Counseling Psychologist |
| 6405 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ever Human Therapy, PLLC | Current | Accepting new patients |
Locations
6 Liberty Sq
Boston, MA 02109
Phone (423) 827-5300
3317 Dayton Blvd
Unit 15781
Chattanooga, TN 37415
Phone (423) 827-5300
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770422400000",
"number": "1982154449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6173 GLEN WAY DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271073786",
"telephone_number": "617-203-8936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6173 GLEN WAY DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271073786",
"telephone_number": "617-203-8936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "LYNN",
"middle_name": "LEMCKE",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-09",
"last_updated": "2026-02-07",
"certification_date": "2026-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "4970",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": "15175",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "6405",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "11767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF REGISTRATION OF PSYCHOLOGISTS",
"identifier": "11767",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE PSYPACT COMMISSION",
"identifier": "15175",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC PSYCHOLOGY BOARD",
"identifier": "6405",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO STATE BOARD OF PSYCHOLOGIST EXAMINERS",
"identifier": "4970",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.