Ms Gina Rose Coleman, LCPC, CRC, CADC is a
Rehabilitation Counselor based in Glenwood, Illinois. Ms Gina Rose Coleman is licensed to practice in Illinois (license number 373285) and her current practice location is
510 N Virginia Ave, Glenwood, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 212-0056.
NPI number for Ms Gina Rose Coleman is 1467197129 and her current mailing address is 510 N Virginia Ave, Glenwood, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467197129.
Healthcare Provider's Profile
Full Name | Ms Gina Rose Coleman |
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Gender | Female |
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Speciality | Rehabilitation Counselor |
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Location | 510 N Virginia Ave, Glenwood, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467197129
- Provider Enumeration Date: 04/27/2022
- Last Update Date: 02/23/2023
Medical Identifiers
Medical identifiers for Ms Gina Rose Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467197129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 180014627 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 178.015298 (Illinois) | Secondary |
225C00000X | Rehabilitation Counselor | 373285 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Gina Rose Coleman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Gina Rose Coleman, LCPC, CRC, CADC 510 N Virginia Ave, Glenwood, IL 60425-1021 Ph: (708) 212-0056 | Ms Gina Rose Coleman, LCPC, CRC, CADC 510 N Virginia Ave, Glenwood, IL 60425-1021 Ph: (708) 212-0056 |
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