Collaborative Mental Wellness

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COLLABORATIVE MENTAL WELLNESS

Practice address

940 E Park Dr Ste 206
Harrisburg, PA 17111-2800

Phone

(717) 421-7629

NPI assigned

Feb 13, 2023

Organization subpart

No

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

Authorized official

Name

Duronn Stern, LCSWNPI 1942835327

Title

Owner/Clinical Director

Phone

(717) 421-7629

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

• Duronn Stern, LCSW

  • Clinical Social Worker
  • Harrisburg, PA
  • NPI 1942835327
  Medicare reassignment NPD Authorized official
• Taylor Waters, MSW, LCSW

  • Clinical Social Worker
  • Harrisburg, PA
  • NPI 1922795905
  NPD

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1073210803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E PARK DR STE 206",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112800",
            "telephone_number": "717-421-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E PARK DR STE 206",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112800",
            "telephone_number": "717-421-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE MENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "DURONN",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "717-421-7629",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942835327",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Custer Coldren, CRNP, FNP-C
• Amy Blum Cole
• Erin Reynolds Colello, PA-C
• Angelique Marie Coleman, NCC, LPC
• Jennifer E Coles, M.D.
• Toni Marie College, CRNP
• Daisy Collier, COTA/L
• Adelle Collin-Lloyd, LSW
• Mark Judson Collin, M.D.
• Steven James Collina, M.D.

• Community/Behavioral Health Agency in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.