Jillyan Collica, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2606021 Issued in OH

Practice address

1000 S Cleveland Massillon Rd Ste 1
Fairlawn, OH 44333-9204

Phone

(330) 754-4844

Fax

(833) 974-2062

NPI assigned

Mar 1, 2018

Last updated

Apr 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascend Health Center, LLCGroup PAC ID 4284969114, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21561/brand/1/csg/1/fhir/r4
• Direct secure messaging: jillyan.collica.1@21561.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascend Health Center, LLC

  • Psychiatry Physician
  • Fairlawn, OH
  • NPI 1912470303
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1073015558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S CLEVELAND MASSILLON RD STE 1",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443339204",
            "telephone_number": "330-754-4844",
            "fax_number": "833-974-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S CLEVELAND MASSILLON RD STE 1",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443339204",
            "telephone_number": "330-754-4844",
            "fax_number": "833-974-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLICA",
        "first_name": "JILLYAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2606021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0308147",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen H Coffey, M.ED., PC
• Manuel F Colaco, DDS
• Tangelique Cole
• Sarah Coleman
• Kailie Coles
• Jennifer Collins, OTR/L
• Shane Collins
• Shatreice Collins
• Community Behavioral Nursing Services, Inc
• Comprehensive Pain Management Specialists

• Professional Counselor in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.