Individual provider Active NPI

Lynn Lemcke Coleman, EDD

  • Counseling Psychologist
  • Winston Salem, NC
National Provider Identifier
1982154449
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
11767 Issued in MA
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

Updated by the provider on Feb 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11767OtherMABOARD OF REGISTRATION OF PSYCHOLOGISTS
15175OtherTHE PSYPACT COMMISSION
6405OtherNCNC PSYCHOLOGY BOARD
4970OtherCOCOLORADO 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304003194 MA Practitioner - Clinical Psychologist 2163943374 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
4970COMDCounseling Psychologist
11767MAMDCounseling Psychologist
6405NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ever Human Therapy, PLLC CurrentSince Dec 26, 2024 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

Verify at the official NPI Registry.