Individual provider Active NPI

Colleen Devlin

  • Addiction (Substance Use Disorder) Counselor
  • Voorhees, NJ
National Provider Identifier
1174980114
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
526 S Burnt Mill Rd
Voorhees, NJ 08043-2205
Phone
(856) 216-6003
NPI assigned
Jan 21, 2016
Last updated
May 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

526 S Burnt Mill Rd
Voorhees, NJ 08043-2205

Mailing address

114 Cleveland Ave
Mount Ephraim, NJ 08059-1405
Phone (609) 458-3593

Other practice location 1

90 W Afton Ave
101
Yardley, PA 19067-1421
Phone (877) 636-9322 ext. 108

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

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1174980114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CLEVELAND AVE",
            "city": "MOUNT EPHRAIM",
            "state": "NJ",
            "postal_code": "080591405",
            "telephone_number": "609-458-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S BURNT MILL RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432205",
            "telephone_number": "856-216-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 W Afton Ave",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190671421",
            "country_code": "US",
            "telephone_number": "877-636-9322 x108",
            "fax_number": "267-799-1672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVLIN",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.