Individual provider Active NPI

Stacey Colabello

  • Counselor
  • Oklahoma City, OK
National Provider Identifier
1134531825
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2701 Watermark Blvd Apt 3226
Oklahoma City, OK 73134-2720
Phone
(402) 578-7287
NPI assigned
May 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X OK Primary

Addresses

Primary practice location

2701 Watermark Blvd Apt 3226
Oklahoma City, OK 73134-2720

Mailing address

2701 Watermark Blvd Apt 3226
Oklahoma City, OK 73134-2720
Phone (402) 578-7287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20190719000229 MA Practitioner - Clinical Social Worker 0042546640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Point Treatment Center IncGroup PAC ID 3779578174, 41 clinicians

Practice addresses (Care Compare)

61 Industrial Park Rd
Plymouth, MA 02360-7246
Phone (508) 830-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
High Point Treatment Center Inc. Counselor CurrentSince Aug 12, 2021 Accepting new patients
Northeast Health Services, LLC CurrentSince May 15, 2019 Accepting new patients
Bridgewater Pediatrics LLC PastSince May 15, 2019 Accepting new patients

Locations

72 Kilburn St
New Bedford, MA 02740
Phone (774) 213-8448

61 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 746-8977

1233 State Rd
Plymouth, MA 02360
Phone (508) 224-6527

39A Industrial Park Rd
Plymouth, MA 02360
Phone (508) 534-8048

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1134531825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 WATERMARK BLVD APT 3226",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342720",
            "telephone_number": "402-578-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 WATERMARK BLVD APT 3226",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342720",
            "telephone_number": "402-578-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLABELLO",
        "first_name": "STACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.