Colleen Avis
Individual provider Active NPI Health & Wellness Coach · MC Lean, VA
NPI 1992633788 · NPPES record last updated May 12, 2026
Key facts
- NPI
- 1992633788
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 6302 N Kensington St
MC Lean, VA 22101-4904 - Phone
- (703) 732-1007
- NPI assigned
- May 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Yes |
Addresses
Primary practice location
6302 N Kensington St
MC Lean, VA 22101-4904
Mailing address
6302 N Kensington St
MC Lean, VA 22101-4904
Phone (703) 732-1007
Other providers in MC Lean, VA
- Anita Auerbach
- Auv and Ocean LLC
- Christina M. Aveni-Hatcher
- Ellen Avery
- Avesta Alternative Care
- Agnes Abiola Oluwatoyin Awomoyi
- Adriana N Backus
- Christine Bae
- Katarina Baez
- Carter G Bagnall
All providers in MC Lean, VA · Health & Wellness Coach in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.