Summer Collins

Primary specialty

CounselorTaxonomy code 101Y00000X

License

7263 Issued in CT

Practice address

842 Main St
Willimantic, CT 06226-2442

Phone

(860) 450-0151

NPI assigned

Jun 18, 2024

Last updated

Jun 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Summer Rodriguez Former name

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Change Counseling LLCGroup PAC ID 9234564956, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/perceptionprograms/r4/

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.

• Change Counseling, LLC

  • Clinical Social Worker
  • Willimantic, CT
  • NPI 1780141465
  Medicare reassignment Care Compare group NPD
• Perception Programs Inc

  • Substance Abuse Rehabilitation Facility
  • Willimantic, CT
  • NPI 1568530319
  NPD

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1235972019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 MAIN ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 MAIN ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262442",
            "telephone_number": "860-450-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SUMMER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "7263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMMER",
            "last_name": "RODRIGUEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elese Ciarcia, PMHNP
• Marianne Ciardullo, L.P.C., N.C.C.
• Donald Cieslukowski
• Deirdre M Clark, NP
• Code One Medical Solutions, LLC
• Colonial Care of Windham LLC
• Companions & Homemakers by Nancy & Hazel (Community Companion and Homemaking Services)
• Tracie Compositor
• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy # 00943)
• Connecticut Dental Groups (Windham Dental Group)

• Counselor in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.