NPIMap

Organization Active NPI

Rollins Counseling Center LLC

  • Clinical Social Worker
  • Westford, MA
National Provider Identifier
1083220206
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROLLINS COUNSELING CENTER LLC
Practice address
70 Broadway St
Westford, MA 01886-2148
Phone
(978) 337-3676
NPI assigned
Sep 22, 2020
Last updated
Sep 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Kerry Rollins, MSWNPI 1588890073
Title
Manager/Owner
Phone
(978) 337-3676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

70 Broadway St
Westford, MA 01886-2148

Mailing address

9 Diamond St
Tyngsboro, MA 01879-1941
Phone (978) 337-3676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201208001412 MA Part B Supplier - Clinic/Group Practice 8426460908 Receives reassigned benefits from 15 practitioners
Practice locations: Norwood, MA; Shrewsbury, MA; Westford, MA
O20240821002602 NH Part B Supplier - Clinic/Group Practice 8426460908 Receives reassigned benefits from 2 practitioners
Practice locations: Salem, NH

National Provider Directory

National Provider Directory

Locations

11 Vanderbilt Ave
Ste 260
Norwood, MA 02062
Phone (978) 763-6121

415 Boston Tpke
Ste 314
Shrewsbury, MA 01545
Phone (978) 999-2165

130 Main St
Ste 201A
Salem, NH 03079
Phone (978) 999-2165

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1083220206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DIAMOND ST",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791941",
            "telephone_number": "978-337-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BROADWAY ST",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018862148",
            "telephone_number": "978-337-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLINS COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "978-337-3676",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.