John (Jack) Joseph Collins, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

583 Issued in NH

Practice address

216 Lafayette Rd
#206
North Hampton, NH 03862-2445

Phone

(603) 964-1700

Fax

(603) 964-1701

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jack Collins Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crossroads Counseling Center, PLLC

  • Mental Health Counselor
  • North Hampton, NH
  • NPI 1992850754
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285732032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 MORRILL ST",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496501",
            "telephone_number": "603-393-8876",
            "fax_number": "603-528-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 LAFAYETTE RD",
            "address_2": "#206",
            "city": "NORTH HAMPTON",
            "state": "NH",
            "postal_code": "038622445",
            "telephone_number": "603-964-1700",
            "fax_number": "603-964-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JOHN (JACK)",
        "middle_name": "JOSEPH",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "COLLINS",
            "credential": "LCMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Tara Comeau
• Crossroads Counseling Center, PLLC
• Vanessa Lynn Croteau, RDN, LDN
• Daily Dental Services
• Robert H Dannar, MS, LCMHC

• Mental Health Counselor in North Hampton, NH
• Providers in North Hampton, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.