Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205530201 Individual Practitioner Female Practitioner

Tierra Makenzie Coalman , R-AAC, CPC

Peer Specialist • Longview, WA

Professional Overview & Biography Verified Profile Summary

Tierra Coalman, R-AAC, CPC is a registered healthcare professional specializing in Peer Specialist in Longview, WA. Practice services are available at 1400 COMMERCE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 Commerce Ave

Longview, WA 986323756

Telephone 3609982047
Fax 3602006736
Associated Practice Facility / Clinic
🏢 Core Health Facility NPI 1639693781

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
107 Specialists

Practicing in Longview, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-04
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG61424610

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License WA CG61424610

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2242156 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Felicity Wolford

Peer Specialist

NPI 1003779497
Kirt Lane , CPC

Peer Specialist

NPI 1013541341
Rachel Gaines , SUDP

Counselor - Addiction (Substance Use Disorder)

NPI 1013655760
NPI 1043069107

Bachelor of Science, RAAC

NPI 1043844095
NPI 1043919145

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 12, 2024

Registered at 1400 COMMERCE AVE, LONGVIEW, WA 986323756 (Tel: 3609982047)

📍
Updated Business Mailing Address December 12, 2024

Registered at PO BOX 2394, LONGVIEW, WA 986328455 (Tel: 3604258679)

👤
Provider Name / Credentials Updated December 12, 2024

Recorded as TIERRA COALMAN, R-AAC, CPC

NPI Profile Active March 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2023

Registered at 720 14TH AVE, LONGVIEW, WA 986322315 (Tel: 3604230203)

📍
Updated Business Mailing Address March 27, 2023

Registered at PO BOX 1847, LONGVIEW, WA 986328140 (Tel: 3604230203)

👤
Provider Name / Credentials Updated March 27, 2023

Recorded as TIERRA COALMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2023

Counselor (License #CG61424610 in WA)

🟢
Initial NPI Registration & Enumeration March 27, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205530201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2023
Last Update: December 12, 2024
Sole Proprietor: No

Mailing Address

Po Box 2394

Longview, WA 986328455

Phone: 3604258679

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.