COLEMAN PROFESSIONAL SERVICES INC. NPI 1982637633

NPI Information

NPI: 1982637633
Provider Name: COLEMAN PROFESSIONAL SERVICES, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5982 RHODES RD
KENT, OH
ZIP 44240
Phone: (330) 673-1347
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COLEMAN PROFESSIONAL SERVICES, INC. is a mental health counselor in Kent, OH. COLEMAN PROFESSIONAL SERVICES, INC. NPI is 1982637633. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5982 RHODES RD
KENT, OH
ZIP 44240-128
Phone: (330) 673-1347
Fax: (330) 678-3677

The provider's authorized official is Diana Keathley .
The authorized official title is Credentialing Specialist and has the following contact phone number (330) 676-6826.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 11/1/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	0227	OHIO	No
2	103T00000X	Psychologist		0227	OHIO	No
3	103TB0200X	Psychologist	Cognitive & Behavioral	0227	OHIO	No
4	103TC0700X	Psychologist	Clinical	0227	OHIO	No
5	103TC1900X	Psychologist	Counseling	0227	OHIO	No
6	103TC2200X	Psychologist	Clinical Child & Adolescent	0227	OHIO	No
7	104100000X	Social Worker		0227	OHIO	No
8	1041C0700X	Social Worker	Clinical	0227	OHIO	No
9	2084P0800X	Psychiatry & Neurology	Psychiatry	0227	OHIO	No
10	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	0227	OHIO	No
11	101YM0800X	Counselor	Mental Health	0227	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8215	OTHER	OHIO	PORTAGE COUNTY MACSIS UPI
2	9205413	MEDICARE PIN	OHIO
3	9205412	MEDICARE PIN	OHIO
4	9205411	MEDICARE PIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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