TIERRA MAKENZIE COALMAN R-AAC, CPC
NPI 1205530201
Peer Specialist in Longview, WA
- Individual
- Female
- Peer Specialist
About TIERRA COALMAN
This page provides the complete NPI Profile along with additional information for Tierra Coalman, a provider established in Longview, Washington with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1205530201 assigned on March 2023. The practitioner's primary taxonomy code is 175T00000X with license number CG61424610 (WA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1205530201 Verify this NPI
- Provider Name
- TIERRA MAKENZIE COALMAN R-AAC, CPC
- Other Name
- TIERRA MAKENZIE DESPAIN
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1400 COMMERCE AVE LONGVIEW, WA 98632
- Location Phone
- (360) 998-2047
- Location Fax
- (360) 200-6736
- Mailing Address
- PO BOX 2394 LONGVIEW, WA 98632
- Mailing Phone
- (360) 425-8679
- Mailing Fax
- (844) 612-6673
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-27-2023
- Last Update Date
- 12-12-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- CG61424610
- License State
- WA
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | CG61424610 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2242156 | MEDICAID (05) | WA |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205530201, enumerated as an "individual" on March 27, 2023.
The provider is located at 1400 COMMERCE AVE LONGVIEW, WA 98632 and the phone number is (360) 998-2047.
Peer Specialist with taxonomy code 175T00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
