TIERRA MAKENZIE COALMAN R-AAC, CPC
NPI 1205530201
Peer Specialist in Longview, WA

Active since March 27, 2023
1400 COMMERCE AVE, LONGVIEW, WA 98632(360) 998-2047(360) 200-6736 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2024, Mar 27, 2023 (2 updates tracked since 2023).

About Tierra Makenzie Coalman R-aac, Cpc NPPES

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

TIERRA MAKENZIE COALMAN R-AAC, CPC (NPI 1205530201) is an individual peer specialist in Longview, Washington, licensed in Washington (CG61424610) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1205530201
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTIERRA MAKENZIE COALMANCredential: R-AAC, CPC
Location Address1400 COMMERCE AVELongview, WA 98632-3756
Mailing AddressPo Box 2394Longview, WA 98632-8455 · (360) 425-8679 · Fax (844) 612-6673
Fax(360) 200-6736
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1205530201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in WA · CG61424610
Definition
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.
Also ListedCounselorTaxonomy 101Y00000X · License CG61424610 (WA)
1400 COMMERCE AVE, Longview, WA 98632

Other Names 1

Former Name (1)Tierra Makenzie Despain

Other Identifiers 1

Medicaid2242156WA

Other Providers at the Same Location NPPES 20

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

Counselor
1400 COMMERCE AVE
LONGVIEW, WA 98632
Counselor
1400 COMMERCE AVE
LONGVIEW, WA 98632
Peer Specialist
1400 COMMERCE AVE
LONGVIEW, WA 98632
Peer Specialist
1400 COMMERCE AVE
LONGVIEW, WA 98632
Peer Specialist
1400 COMMERCE AVE
LONGVIEW, WA 98632
Peer Specialist
1400 COMMERCE AVE
LONGVIEW, WA 98632
Counselor
1400 COMMERCE AVE
LONGVIEW, WA 98632
Counselor
1400 COMMERCE AVE
LONGVIEW, WA 98632

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 Tierra Coalman's NPI number?

The NPI number for Tierra Coalman is 1205530201. It was assigned to this individual provider in the NPPES registry on March 27, 2023. The provider is also known as Tierra Makenzie Despain.

Where is Tierra Coalman located?

Tierra Coalman practices at 1400 Commerce Ave, Longview, WA 98632. The listed phone number is (360) 998-2047.

What is Tierra Coalman's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tierra Coalman was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.