Individual provider Active NPI

Steven Forrester Coleman Sr., LMSW

  • Mental Health Counselor
  • Newark, DE
National Provider Identifier
1992328587
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
Q3-0000039 Issued in DE
Practice address
276 E Main St Ste 203
Newark, DE 19711-7356
Phone
(302) 480-0116
NPI assigned
May 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Q3-0000039 DE Primary

Addresses

Primary practice location

276 E Main St Ste 203
Newark, DE 19711-7356

Mailing address

276 E Main St
Newark, DE 19711-7322
Phone (302) 256-8272

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Shapingminds1@gmail.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
Q3-0000039DEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1992328587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 E MAIN ST",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117322",
            "telephone_number": "302-256-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 E MAIN ST STE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117356",
            "telephone_number": "302-480-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "STEVEN",
        "middle_name": "FORRESTER",
        "name_suffix": "Sr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "Q3-0000039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Shapingminds1@gmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Referring",
            "address_1": "276 E Main St Ste 203",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197117356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.