MR. GARY LYNN COLEMAN (NPI# 1770799850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770799850 |
| Entity Type | Individual |
| Full Name | MR. GARY LYNN COLEMAN |
| Credential | MFT |
| Practice Address |
1313 Foothill Bl. Suite 9 La Canada CA 91011 |
| Mailing Address |
3530 Buena Vista Ave Glendale CA 91208-1204 |
| Practice Telephone | 8189527927 |
| Mailing Telephone | 8185410842 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT31127 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAXPAYER NUMBER | 9742111 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629343819 | Gary Gene Coleman | Pharmacist | 20816 W 99th St, Lenexa, KS 66220-2699 | 2012-03-20 |
| 1215259890 | Gary Carl Coleman | Dentist | 2011 Drake Dr, Richardson, TX 75081-3237 | 2010-02-23 |
| 1407994049 | Gary Lee Coleman | Psychologist | 2114 Deerpath Rd, Aurora, IL 60506-7943 | 2007-02-04 |
| 1124132501 | Gary Rube Coleman | Dentist | 3708 Willow Ridge Rd, Lexington, KY 40514-1562 | 2006-08-19 |
| 1497758643 | Gary B. Coleman | Otolaryngology | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-3291 | 2005-05-23 |
| 1619586849 | Gary Allen Coleman Jr. | Counselor | 217 Muskingum Ave, Zanesville, OH 43701-4957 | 2020-07-23 |
| 1710469804 | Gary Coleman | Counselor | 1012 S North Point Rd, Baltimore, MD 21224-3338 | 2018-09-05 |
| 1437645058 | Gary L Coleman Jr. | Case Manager/Care Coordinator | 33 W 1st St Ste 100, Dayton, OH 45402-1243 | 2018-07-06 |
| 1285088351 | Gary Coleman Jr. | Counselor | 700 N Irwin St, Hanford, CA 93230-3814 | 2016-04-14 |
| 1114013802 | Gary C Coleman | Physical Therapist | 3878 West Carson Street, Suite 100, Torrance, CA 90503 | 2006-10-04 |
| Street Address |
1313 FOOTHILL BL. SUITE 9 |
| City | LA CANADA |
| State | CA |
| Zip Code | 91011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720528466 | Gina Lynn Horton | Acupuncturist | 890-b Town Center Drive, La Canada, CA 91011 | 2017-02-28 |
| 1215381777 | Richard Alan Compton | Family Medicine | 1109 Foothill Blvd, La Canada, CA 91011 | 2016-04-20 |
| 1073865390 | Drs. Ho Dental Partnership | Dentist | 400 Foothill Blvd., La Canada, CA 91011 | 2012-10-10 |
| 1477803369 | Amanda Ghattas | Student in an Organized Health Care Education/Training Program | 1323 Verdugo Blvd, La Canada Flintridge, CA 91011 | 2012-09-18 |
| 1992053441 | Ronald Leonard Polito | Internal Medicine | 4381 Shepherds Lane, La Canada, CA 91011 | 2012-08-15 |
| 1699089508 | Talha Khawar | Internal Medicine | 1975 Verdugo Blvd, La Canada, CA 91011 | 2010-08-03 |
| 1396999728 | Lester Baker Jr. | Family Medicine | 4404 Chevy Chase Dr., La Canada, CA 91011 | 2008-11-12 |
| 1306098280 | Vicky W Ling | Pharmacist | 523 Foothill Blvd., La Canada, CA 91011 | 2008-10-22 |
| 1881815884 | Sharon Elaine Milan | Marriage & Family Therapist | 1313 Foothill Boulevard, Suite 3, La Canada Flintridge, CA 91011 | 2007-05-01 |
| 1497891477 | Sergy Saroyan | Pharmacist | 1409 1-2 Foothill Blvd., La Canada, CA 91011 | 2007-01-29 |
| Find all providers in zip 91011 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871055541 | Elisa Pomerantz | Marriage & Family Therapist | 1433 Foothill Blvd Ste 200, La Canada, CA 91011-2109 | 2019-04-02 |
| 1982048930 | Ann Patricia Mccarraher-wetzel | Marriage & Family Therapist | 5290 La Canada Blvd, La Canada, CA 91011-1722 | 2013-04-22 |
| 1477889095 | Cara Stearns-entz | Marriage & Family Therapist | 4515 Ocean View Blvd Ste 320, La Canada, CA 91011-1438 | 2009-11-02 |
| 1972730372 | Peter Gero | Marriage & Family Therapist | 1346 Foothill Blvd Ste 303, La Canada, CA 91011-2153 | 2009-06-12 |
| 1144410440 | Naphtali Vail Roberts | Marriage & Family Therapist | 1223 Verdugo Blvd, La Canada, CA 91011-3139 | 2007-08-01 |
| 1528269024 | Alexine Thompson-de Benoit | Marriage & Family Therapist | 4529 Angeles Crest Hwy Ste 319, La Canada, CA 91011-3263 | 2007-05-30 |
| 1144347188 | Katherine Michiko Miura | Marriage & Family Therapist | 4465 Saint Francis Pl, La Canada, CA 91011-3128 | 2007-03-23 |
| 1417087792 | Ted Marshal Aaselund | Marriage & Family Therapist | 4601 Alta Canyada Rd, La Canada, CA 91011-2033 | 2007-03-06 |
| 1043345614 | Hillary Lynne Haynes | Marriage & Family Therapist | 1409 Foothill Blvd, Suite 204, La Canada, CA 91011-4300 | 2007-02-22 |
| 1740382571 | Gloria L. Lee | Marriage & Family Therapist | 400 Baptiste Way, La Canada, CA 91011-2600 | 2006-09-02 |
| Find all providers in LA CANADA | ||||
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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.