Active NPI
Tia S Coleman
- Professional Counselor
- Manassas Park, VA
National Provider Identifier
1992457436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 9105A Owens Dr Ste 102
Manassas Park, VA 20111-4852 - Phone
- (571) 445-0265
- NPI assigned
- Jan 26, 2022
- Last updated
- Sep 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
9105A Owens Dr Ste 102
Manassas Park, VA 20111-4852
Mailing address
8628 Venoy CT
Alexandria, VA 22309-1566
Phone (915) 979-6698
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookside Family Therapy, LLC | Professional | Current | Accepting new patients |
Locations
9105A Owens Dr
Ste 102
Manassas Park, VA 20111
Phone (571) 331-9704
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1992457436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8628 VENOY CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223091566",
"telephone_number": "915-979-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9105A OWENS DR STE 102",
"city": "MANASSAS PARK",
"state": "VA",
"postal_code": "201114852",
"telephone_number": "571-445-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "TIA",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas Park, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.