Individual provider Active NPI

Ollie Collier-Jones

  • Clinical Social Worker
  • Akron, OH
National Provider Identifier
1174078505
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I3416 Issued in OH
Practice address
1035 Rosemary Blvd
Suite a
Akron, OH 44306-3768
Phone
(330) 737-7121
Fax
(234) 334-1660
NPI assigned
Aug 15, 2016
Last updated
Dec 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I3416 OH Primary

Addresses

Primary practice location

1035 Rosemary Blvd
Suite a
Akron, OH 44306-3768

Mailing address

1035 Rosemary Blvd
Suite a
Akron, OH 44306-3768

Other practice location 1

17235 Euclid Avenue
4005
Cleveland, OH 44112
Phone (330) 737-7129

Other identifiers 1

IdentifierTypeStateIssuer
1558805630OtherOH1558805630

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

State licenses

LicenseStateTypeSpecialty
I3416OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Perfecting Saints Heart to Heart Ministries Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1174078505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 ROSEMARY BLVD",
            "address_2": "SUITE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 ROSEMARY BLVD",
            "address_2": "SUITE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063768",
            "telephone_number": "330-737-7121",
            "fax_number": "234-334-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17235 Euclid Avenue",
            "address_2": "4005",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44112",
            "country_code": "US",
            "telephone_number": "330-737-7129",
            "fax_number": "234-334-1660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLIER-JONES",
        "first_name": "OLLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I3416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1558805630",
            "identifier": "1558805630",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.