Coleman Professional Services, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0227 Issued in OH

Legal business name

COLEMAN PROFESSIONAL SERVICES, INC.

Practice address

5982 Rhodes Rd
Kent, OH 44240-4128

Phone

(330) 673-1347

Fax

(330) 678-3677

NPI assigned

Jul 8, 2006

Last updated

Nov 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Diana Keathley

Title

Credentialing Specialist

Phone

(330) 676-6826

Specialties & licenses 11

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Coleman Professional Services, Inc.

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1134296213

  O20040331001085

  Same enrollment

Locations

Practitioners 458

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn Ann Abersold, PHD LPPC

  • Mental Health Counselor
  • Canton, OH
  • NPI 1336302694
  Medicare reassignment Care Compare group NPD
• Lori Acerro, LSW

  • Social Worker
  • Lima, OH
  • NPI 1235630807
  Medicare reassignment Care Compare group NPD
• Akeem A Adeniyi, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ada, OH
  • NPI 1720513443
  Medicare reassignment Care Compare group NPD
• Jean Marie Alban, M.S.W., L.I.S.W.

  • Clinical Social Worker
  • Steubenville, OH
  • NPI 1689863896
  Medicare reassignment Care Compare group NPD
• Audray Allen, LISW

  • Clinical Social Worker
  • Lima, OH
  • NPI 1447484795
  Medicare reassignment Care Compare group NPD
• Andrea Ankney, LSW

  • Social Worker
  • Lima, OH
  • NPI 1477054039
  Medicare reassignment Care Compare group NPD
• Darlene Baliga-Brown, LISW

  • Professional Counselor
  • Canton, OH
  • NPI 1821284050
  Medicare reassignment Care Compare group NPD
• Allyson Ball, LISW

  • Clinical Social Worker
  • Lima, OH
  • NPI 1154068385
  Medicare reassignment Care Compare group NPD
• Susan Barker, CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Kent, OH
  • NPI 1356678429
  Medicare reassignment Care Compare group NPD
• Melody Camille Boals

  • Psychiatric/Mental Health Nurse Practitioner
  • Warren, OH
  • NPI 1528793387
  Medicare reassignment Care Compare group NPD
• Samantha Renee Brooks

  • Social Worker
  • Lima, OH
  • NPI 1861976284
  Medicare reassignment Care Compare group NPD
• Raelyn Jeanette Brown, M.ED, PCC-S

  • Mental Health Counselor
  • Steubenville, OH
  • NPI 1033310297
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1982637633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5982 RHODES RD",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404128",
            "telephone_number": "330-673-1347",
            "fax_number": "330-678-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5982 RHODES RD",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404128",
            "telephone_number": "330-673-1347",
            "fax_number": "330-678-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN PROFESSIONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "KEATHLEY",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "330-676-6826",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "0227",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "0227",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "0227",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OH",
            "license": "0227",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "0227",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "0227",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "0227",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "0227",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0227",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "0227",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "0227",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PORTAGE COUNTY MACSIS UPI",
            "identifier": "8215",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Windy Elaine Cole, DPM
• Coleman Intensive Crisis
• Coleman Professional Services
• Coleman Professional Services, Inc.
• Coleman Professional Services, Inc.
• Ashley D Coleman, RN
• Collaborative Therapy Innovations
• Bert David Collier Jr., M.D.
• Kortni M Collins, CDCA
• Color Outside the Lines Counseling

• Mental Health Counselor in Kent, OH
• Providers in Kent, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.