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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSYCA RENAE COLEMAN
NPI 1023750221
Social Worker - Clinical in Enterprise, AL

Active since April 08, 2022PECOS Enrolled
557 GLOVER AVE STE 3, ENTERPRISE, AL 36330(334) 308-2292 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Jun 21, 2024, Apr 8, 2022 (3 updates tracked since 2022).

About Jessyca Renae Coleman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSYCA RENAE COLEMAN (NPI 1023750221) is an individual clinical provider in Enterprise, Alabama, licensed in Alabama (5224C) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Enterprise, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023750221
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSYCA RENAE COLEMAN
Location Address557 GLOVER AVE STE 3Enterprise, AL 36330-2070
Mailing Address108 Crest Hill DrEnterprise, AL 36330-4474 · (334) 406-0816
Phone(334) 308-2292
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 8, 2022
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1023750221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in AL · 5224C✔ Licensed in FL · 27440✔ Licensed in IA · 134935
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 5225G (AL)
557 GLOVER AVE STE 3, Enterprise, AL 36330
Open in Google Maps ↗

Secondary Practice Location 1

Location 1108 Crest Hill DrEnterprise, AL 36330-4474 · Phone (334) 722-3075

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessyca Renae Coleman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668819335
PECOS Enrollment IDI20240318003108
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessyca Coleman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intervention Services Of Southeast Alabama, LLC
Same address
Clinical
557 GLOVER AVE
Enterprise, AL 36330
  • Reassigned Medicare billing, Alabama enrollment
NPI 1285340406 (334) 308-2292

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.65 – $161.63
Typical copayment $0.00 (range $13.16 – $40.40)
Most-billed visit code NA
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THRIVE COUNSELING AND CONSULTING, LLC
Counselor (Mental Health)
557 GLOVER AVE STE 3
ENTERPRISE, AL 36330
Coffee County (334) 308-2292
GRS COUNSELING
Counselor (Professional)
557 GLOVER AVE STE 3
ENTERPRISE, AL 36330
Coffee County (334) 308-2292
MRS. MARICELLY SAXON LPC
Counselor (Professional)
557 GLOVER AVE STE 3
ENTERPRISE, AL 36330
Coffee County (334) 347-1862
MRS. FANETIA LOVE ALC
Counselor (Mental Health)
557 GLOVER AVE STE 3
ENTERPRISE, AL 36330
Coffee County (334) 308-2292
JENNIFER WARREN LPC
Counselor (Professional)
557 GLOVER AVE STE 3
ENTERPRISE, AL 36330
Coffee County (334) 308-2292
ASHLEY L PITTMAN LLC
Counselor (Professional)
557 GLOVER AVE STE 3
ENTERPRISE, AL 36330
Coffee County (334) 308-2292
MR. GEORGE ROBERT STOREY JR. LPC
Counselor (Mental Health)
557 GLOVER AVE STE 3
ENTERPRISE, AL 36330
Coffee County (334) 308-2292
NOURISHED MIND COUNSELING SERVICES, LLV
Counselor
557 GLOVER AVE STE 3
ENTERPRISE, AL 36330
Coffee County (334) 308-2292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessyca Coleman's NPI number?

The NPI number for Jessyca Coleman is 1023750221. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Jessyca Coleman located?

Jessyca Coleman practices at 557 Glover Ave Ste 3, Enterprise, AL 36330. The listed phone number is (334) 308-2292.

What is Jessyca Coleman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessyca Coleman enrolled in Medicare?

Yes. Jessyca Coleman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessyca Coleman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessyca Coleman reassigns Medicare benefits to Intervention Services Of Southeast Alabama, LLC (Enterprise, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessyca Coleman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessyca Coleman accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Jessyca Coleman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessyca Coleman was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.