MICHAEL COLEMAN (NPI# 1194114652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194114652 |
| Entity Type | Individual |
| Full Name | MICHAEL COLEMAN |
| Credential | CADCII CCJP |
| Practice Address |
171 Carlos Dr San Rafael CA 94903-2005 |
| Practice Telephone | 4154445580 |
| Mailing Telephone | 4154445580 |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
251500000X | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | COMMUNITY BEHAVIOR HEALTH | 94 2346815 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225477755 | Michael Anthony Coleman Jr. | Rehabilitation Practitioner | 1725 Diamond Bluff Ave, North Las Vegas, NV 89084-2001 | 2013-06-18 |
| 1376826057 | Michael Coleman | Counselor | 448 Cambridge St, Apt. 2, Cambridge, MA 02141-1113 | 2011-09-20 |
| 1215171970 | Michael Anthony Coleman Jr. | Pharmacist | 2715 Parade St, Erie, PA 16504-2811 | 2009-04-26 |
| 1154528982 | Michael Troy Coleman | Radiologic Technologist | 1414 Yanceyville St, Greensboro, NC 27405-6962 | 2007-06-27 |
| 1912904632 | Michael Wayne Coleman | Family Medicine | 606 N College St, Albany, MO 64402-1432 | 2005-07-07 |
| 1750900783 | Michael Ray Coleman | Physical Therapy Assistant | 990 Holston Rd, Wytheville, VA 24382-4105 | 2020-04-09 |
| 1730718339 | Michael Chandler Coleman | Occupational Therapist | 68 Sweeten Creek Rd, Asheville, NC 28803-2318 | 2020-04-06 |
| 1558861880 | Michael Ryan Coleman | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2018-02-13 |
| 1922452655 | Michael Coleman II | Counselor | 6639 Sullivan Rd, Greenwell Springs, LA 70739-3112 | 2016-04-19 |
| 1598085979 | Michael James Coleman Jr. | Ophthalmology | 4717 Saint Antoine St, Detroit, MI 48201-1423 | 2010-06-08 |
| Street Address |
171 CARLOS DR |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770656704 | Bay Area Community Resources, Inc. | Community/Behavioral Health | 171 Carlos Dr, San Rafael, CA 94903-2005 | 2006-11-16 |
| 1760005060 | Katherine Alexandra Mancera | Counselor | 171 Carlos Dr, San Rafael, CA 94903-2005 | 2020-05-20 |
| 1881134526 | Kim D'arcy | Marriage & Family Therapist | 171 Carlos Dr, San Rafael, CA 94903-2005 | 2017-02-28 |
| 1730627407 | Erin Hassig | Community/Behavioral Health | 171 Carlos Dr, San Rafael, CA 94903-2005 | 2017-02-02 |
| 1316484215 | Susan Pollack | Social Worker | 171 Carlos Dr, San Rafael, CA 94903-2005 | 2017-01-30 |
| 1558808451 | Melissa Dowd | Marriage & Family Therapist | 171 Carlos Dr, San Rafael, CA 94903-2005 | 2017-01-30 |
| 1407237126 | Laura Kantorowski | Psychologist | 171 Carlos Dr, San Rafael, CA 94903-2005 | 2015-06-18 |
| 1700275104 | Milton Paul | Counselor | 171 Carlos Dr, San Rafael, CA 94903-2005 | 2015-01-22 |
| 1649669243 | Patricia Williams | Counselor | 171 Carlos Dr, San Rafael, CA 94903-2005 | 2015-01-20 |
| 1073954277 | Sergio Ruiz | Counselor | 171 Carlos Dr, San Rafael, CA 94903-2005 | 2013-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912542457 | Stephen Lochrane Prince | Counselor | 10 N San Pedro Rd Ste 1015, San Rafael, CA 94903-4155 | 2019-11-07 |
| 1912463332 | Jenna Roth Ring | Counselor | 1005 Northgate Dr # 115, San Rafael, CA 94903-2500 | 2019-02-11 |
| 1194263228 | Daron Austin | Counselor | 710 C St Ste 8, San Rafael, CA 94901-3853 | 2017-02-09 |
| 1427507789 | Full Circle Addiction and Recovery Services | Counselor | 1104 Lincoln Ave, San Rafael, CA 94901-3245 | 2016-09-28 |
| 1750744637 | Karen Witt | Counselor | 110 Plymouth Cv, San Rafael, CA 94901-4461 | 2016-03-30 |
| 1952763724 | Donald Lee Merriam IIi | Counselor | 603 D Street, San Rafael, CA 94901 | 2016-03-22 |
| 1912367236 | Felipe Perez | Counselor | 710 C Street, Suite 7, San Rafael, CA 94901 | 2016-02-29 |
| 1568839926 | Jenna Kerler | Counselor | 22 San Pablo Ave Apt 2, San Rafael, CA 94903-4122 | 2015-09-01 |
| 1598159790 | James Paul Goss IIi | Counselor | 1005 A St Ste 209, San Rafael, CA 94901-3127 | 2015-03-25 |
| 1053702787 | Marin Outpatient Recovery Services | Counselor | 11 Albion St, San Rafael, CA 94901-5201 | 2015-02-17 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on MICHAEL COLEMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.