NPIMap

Organization Active NPI

Collinear

  • Mental Health Counselor
  • Palm Coast, FL
National Provider Identifier
1174179824
Registry record updated Mar 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COLLINEAR
Practice address
78 Point Pleasant Dr
Palm Coast, FL 32164-6799
Phone
(310) 295-7767
NPI assigned
Aug 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2023

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

Authorized official

Name
Marta FeneroNPI 1275088411
Title
Director
Phone
(386) 385-8047

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

78 Point Pleasant Dr
Palm Coast, FL 32164-6799

Mailing address

78 Point Pleasant Dr
Palm Coast, FL 32164-6799
Phone (310) 295-7767

National Provider Directory

National Provider Directory
Tax ID family
Collinear2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679097600000",
    "number": "1174179824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 POINT PLEASANT DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646799",
            "telephone_number": "310-295-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 POINT PLEASANT DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646799",
            "telephone_number": "310-295-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2023-03-18",
        "certification_date": "2023-03-18",
        "status": "A",
        "authorized_official_last_name": "FENERO",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-385-8047"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2023; 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.