1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Counselor
  6. NPI Profile

GARY COLEMAN LCPC
NPI 1710469804
Counselor - Professional in Baltimore, MD

Active since September 05, 2018PECOS EnrolledAccepts Medicare Assignment
1111 N CHARLES ST, BALTIMORE, MD 21201(410) 837-2050 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2021, Jan 15, 2020, Sep 5, 2018 (3 updates tracked since 2018).

About Gary Coleman Lcpc NPPES

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

GARY COLEMAN LCPC (NPI 1710469804) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LC12144) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710469804
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameGARY COLEMANCredential: LCPC
Location Address1111 N CHARLES STBaltimore, MD 21201-5505
Mailing Address1111 N Charles StBaltimore, MD 21201-5505 · (410) 837-2050
Phone(410) 837-2050
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 5, 2018
Last NPPES UpdateDecember 27, 20213 updates tracked since enumeration
NPPES CertifiedDecember 27, 2021
✔ NPI 1710469804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC12144
1111 N CHARLES ST, Baltimore, MD 21201
Open in Google Maps ↗

Secondary Practice Location 1

Location 11012 S North Point RdBaltimore, MD 21224-3338 · Phone (443) 625-1600 · Fax (443) 625-1520

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gary Coleman Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547612897
PECOS Enrollment IDI20240123000538
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.

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.

DAVID A CORNELL DNP, ARNP
Nurse Practitioner (Family)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (515) 291-3283
STELLA IJIYODE FNP-C
Nurse Practitioner (Family)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
DR. EMILY ANN SILVERMAN PH.D.
Psychologist (Clinical)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
MRS. AFRICA ALVAREZ-MCLEOD M.D.
Internal Medicine (Infectious Disease)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
DHANASHREE CHADA
Counselor (Professional)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
YOUNGHO KIM
Nurse Practitioner (Family)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
CHRISTOPHER ANDREW REEVES
Social Worker (Clinical)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
MS. KEM JACQUELINE JOHNSON MS, MED, CNS, LDN
Nutritionist
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050

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 Gary Coleman's NPI number?

The NPI number for Gary Coleman is 1710469804. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Where is Gary Coleman located?

Gary Coleman practices at 1111 N Charles St, Baltimore, MD 21201. The listed phone number is (410) 837-2050.

What is Gary Coleman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Gary Coleman enrolled in Medicare?

Yes. Gary Coleman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gary Coleman was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.