IndividualActive
Coleman Vizcarra
NPI 1770831893 · Mental Health Counselor · Centralia, IL
Coleman Vizcarra is a Mental Health Counselor provider in Centralia, IL (NPI 1770831893).
Provider details
- NPI number
- 1770831893
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
904 E. Martin Luther King Dr.
Centralia, IL 62801
Phone: (618) 533-1391
Fax: (618) 533-0012
Street-level locationGet directions
Mailing address
904 E. Martin Luther King Dr.
Centralia, IL 62801
Registry dates
- Enumerated
- 2012-08-21
- Last updated
- 2012-08-21
Frequently asked questions
- What is Coleman Vizcarra's NPI number?
- Coleman Vizcarra's National Provider Identifier (NPI) is 1770831893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Coleman Vizcarra's specialty?
- Coleman Vizcarra is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Coleman Vizcarra located?
- Coleman Vizcarra's practice location on file with NPPES is 904 E. Martin Luther King Dr., Centralia, IL 62801.
- What is Coleman Vizcarra's phone number?
- The practice phone number listed in the NPPES registry for Coleman Vizcarra is (618) 533-1391.
- Is Coleman Vizcarra's NPI active?
- Yes — Coleman Vizcarra's NPI (1770831893) is active in the NPPES registry as of the last update on 2012-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.