MR. BRENT ROBERT COLEMAN (NPI# 1144436718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144436718 |
| Entity Type | Individual |
| Full Name | MR. BRENT ROBERT COLEMAN |
| Credential | M.A. |
| Practice Address |
130 Altena St San Rafael CA 94901-5200 |
| Practice Telephone | 7203418985 |
| Mailing Telephone | 7203418985 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2355 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265465785 | Brent J Coleman | Emergency Medicine | 103 N San Roman Rd, Bayview, TX 78566-4685 | 2006-07-08 |
| 1770119414 | Brent Christian Coleman | Massage Therapist | 207 Ridgely Ave, Annapolis, MD 21401-1379 | 2020-03-13 |
| Street Address |
130 ALTENA ST |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508369398 | Lisa Hamilton | Counselor | 129 Greenfield Ave, San Rafael, CA 94901-2622 | 2018-03-17 |
| 1710277900 | Karen R O'dea | Counselor | 2370 Kerner Blvd, San Rafael, CA 94901-5546 | 2011-04-09 |
| 1225062227 | Paul Pribuss | Counselor | 834 Mission Ave, San Rafael, CA 94901-3209 | 2006-07-10 |
| 1811550023 | Alexandra Giacona | Counselor | 1330 Lincoln Ave, San Rafael, CA 94901-2120 | 2019-04-15 |
| 1952851065 | Kyle Hara | Counselor | 3270 Kerner Blvd Ste B, San Rafael, CA 94901 | 2016-10-12 |
| 1568917995 | Ginny Bahr | Counselor | 1206 3rd St Ste 4, San Rafael, CA 94901-3048 | 2016-08-15 |
| 1780073528 | William Goldberg | Counselor | 1050 Northgate Dr, Suite 250 B, San Rafael, CA 94903-2526 | 2015-01-16 |
| 1295144335 | Patricia Duncan | Counselor | 830 5th Ave, San Rafael, CA 94901-3254 | 2014-08-02 |
| 1679840136 | Claudine Katherine Clarke | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2011-11-28 |
| 1780967570 | Tran Huyen Nguyen | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2011-09-28 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on MR. BRENT ROBERT 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.