JADE COLEMAN MA MHP NPI 1417228719

NPI Information

NPI: 1417228719
Provider Name: JADE COLEMAN, MA, MHP
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
901 W 33RD ST
CHICAGO, IL
ZIP 60608
Phone: (773) 416-5233
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Jade Coleman, MA, MHP is a counselor in Chicago, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jade Coleman, MA, MHP NPI is 1417228719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

901 W 33RD ST
CHICAGO, IL
ZIP 60608-647
Phone: (773) 416-5233

The enumeration date for this NPI number is 1/18/2012 and was last updated on 1/18/2012.

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	Primary
1	103K00000X	Behavior Analyst	No
2	104100000X	Social Worker	No
3	101Y00000X	Counselor	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
1	103K00000X	MEDICAID	ILLINOIS
2	101Y00000X	MEDICAID	ILLINOIS
3	174400000X	MEDICAID	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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