MR. JEREMY GARTH COLEMAN (NPI# 1730437500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730437500 |
| Entity Type | Individual |
| Full Name | MR. JEREMY GARTH COLEMAN |
| Credential | LPC |
| Practice Address |
1246 Yellowstone Ave Ste F Pocatello ID 83201-4374 |
| Practice Telephone | 2082379194 |
| Practice Fax Number | 2082372646 |
| Mailing Telephone | 2082379194 |
| Mailing Fax Number | 2082372646 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2020-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC-6908 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023507746 | Jeremy Leumun, Marquis Coleman | Chiropractor | 5295 Galaxie Dr Ste C, Jackson, MS 39206-4337 | 2018-05-08 |
| 1407105026 | Jeremy Orantes Coleman | Technician | 1287 Cedar Shoals Dr Apt 1016, Athens, GA 30605-3571 | 2012-08-29 |
| 1245722511 | Jeremy Paul Coleman | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2018-06-03 |
| 1336591726 | Jeremy Joseph Coleman | Student in an Organized Health Care Education/Training Program | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2016-07-08 |
| 1467742957 | Jeremy Latron Coleman | Family Medicine | 851042 Us Highway 17, Yulee, FL 32097-2845 | 2011-04-18 |
| 1255535480 | Jeremy Bryce Coleman | Family Medicine | 1126 Draper Pkwy, Draper, UT 84020-9095 | 2007-06-12 |
| 1316030232 | Jeremy L Coleman | Counselor | 4720 Kingsway Dr, Indianapolis, IN 46205-1555 | 2006-10-02 |
| Street Address |
1246 YELLOWSTONE AVE STE F |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588202907 | Brianna Dannielle Windhorst | Counselor | 611 Wilson Ave Ste 5, Pocatello, ID 83201-5046 | 2019-12-16 |
| 1417598384 | Barton Vandenburg | Counselor | 1001 N 7th Ave, Pocatello, ID 83201-5761 | 2019-10-02 |
| 1689163867 | Sarah Nicolle Baquet | Counselor | 224 S Arthur Ave # 2, Pocatello, ID 83204-3202 | 2018-05-03 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1255602983 | Covey LLC | Counselor | 730 E Clark St # 4571, Pocatello, ID 83201-6238 | 2012-01-26 |
| 1427337831 | Justice Isaacson | Counselor | Cognitive Restructuring LLC, 707 North 7th Ave Ste #d, Pocatello, ID 83201-3357 | 2011-08-16 |
| 1700165628 | Connie Kreizenbeck | Counselor | 409 Washington Ave., Pocatello, ID 83201 | 2011-08-09 |
| 1740568658 | Kimberly B Rasmussen | Counselor | 231 N 6th, Pocatello, ID 83201 | 2011-07-26 |
| 1699005132 | Gina H Judd | Counselor | 819 N 12th Ave, Pocatello, ID 83201-4741 | 2010-01-06 |
| 1215188479 | Tanja Dawn Cornelison | Counselor | 210 E Center St Ste B, Pocatello, ID 83201-6326 | 2008-10-07 |
| Find all providers in POCATELLO | ||||
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| 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.