Active NPI
Mara McCollum, CD(DONA)
- Doula
- Lawrence Township, NJ
National Provider Identifier
1205689106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 0450731642
- Practice address
- 7 Danielle CT
Lawrence Township, NJ 08648-1449 - Phone
- (858) 371-4664
- NPI assigned
- Apr 9, 2024
- Last updated
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 0450731642 | NJ | Primary |
Addresses
Primary practice location
7 Danielle CT
Lawrence Township, NJ 08648-1449
Mailing address
7 Danielle CT
Lawrence Township, NJ 08648-1449
Phone (858) 371-4664
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0450731642 | NJ | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1205689106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DANIELLE CT",
"city": "LAWRENCE TOWNSHIP",
"state": "NJ",
"postal_code": "086481449",
"telephone_number": "858-371-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 DANIELLE CT",
"city": "LAWRENCE TOWNSHIP",
"state": "NJ",
"postal_code": "086481449",
"telephone_number": "858-371-4664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOLLUM",
"first_name": "MARA",
"credential": "CD(DONA)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-09",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NJ",
"license": "0450731642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence Township, NJ
- Loes Loving Our Elders and Seniors LLC
- Lemuel-James Lu, PHARMD
- Michael David Lupa, M.D.
- Jill Mackey, LPC, LCADC
- Spruha Magodia, DPM
- Kimberly Cleaves Devine McDevitt, MPH R.D.
- Marcelle Louise McGovern, LSW, MSW
- Mercer Council on Alcoholism and Drug Addiction
- Mercer County Hispanic Association
- Mind Mechanic NJ LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.