Active NPI
Thomas F Collura, PH.D, LPCC
- Mental Health Counselor
- Bedford, OH
National Provider Identifier
1083069058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1200339
- Practice address
- 195 Willis St
Bedford, OH 44146-3508 - Phone
- (440) 232-9100
- NPI assigned
- Apr 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1200339 | OH | Primary |
Addresses
Primary practice location
195 Willis St
Bedford, OH 44146-3508
Mailing address
195 Willis St
Bedford, OH 44146-3508
Phone (440) 232-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1200339 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1083069058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 WILLIS ST",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441463508",
"telephone_number": "440-232-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 WILLIS ST",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441463508",
"telephone_number": "440-232-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLURA",
"first_name": "THOMAS",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PH.D, LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-27",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "1200339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.