Collaborative Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COLLABORATIVE COUNSELING LLC

Practice address

1320 E 9TH St Ste 8
Edmond, OK 73034-5773

Phone

(405) 471-4792

NPI assigned

Nov 25, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janice Allison Canton, LPCNPI 1255706735

Title

Sole Member

Phone

(405) 471-4792

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice Allison Canton

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1255706735
  Medicare reassignment NPD Authorized official
• Kelsey Hines, MS, LPC

  • Mental Health Counselor
  • Edmond, OK
  • NPI 1467070565
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1023834017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 E 9TH ST STE 8",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345773",
            "telephone_number": "405-471-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E 9TH ST STE 8",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345773",
            "telephone_number": "405-471-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "CANTON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "405-471-4792",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Cole, MD
• Omari Cole
• Lauren Coleman, PT, DPT
• Micaela Coleman, MD
• Alexandra Colen, OTR/L
• Tara Noblin Colley, RPH
• Cynthia Lynn Collins-Clark, LPC
• Dolores Collins
• Kimberli Dayl Collins, LPC
• Robert Collins

• Mental Health Clinic/Center (Including Community Mental Health Center) in Edmond, OK
• Providers in Edmond, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.