Individual provider Active NPI

Zumo M Kollie, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Greensboro, NC
National Provider Identifier
1336441443
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
5856 Old Oak Ridge Rd Apt 703
Greensboro, NC 27410-8423
Phone
(336) 508-1837
NPI assigned
Nov 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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 NC Primary

Addresses

Primary practice location

5856 Old Oak Ridge Rd Apt 703
Greensboro, NC 27410-8423

Mailing address

5856 Old Oak Ridge Rd Apt 703
Greensboro, NC 27410-8423
Phone (336) 508-1837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20230515000108 NC Practitioner - Clinical Social Worker 4486010600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as group
Quality
89.03
Promoting interoperability
82
Improvement activities
40
Cost
90.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daymark Recovery Services, Inc. CurrentSince Feb 7, 2023 Accepting new patients

Locations

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

650 Highland Ave
Ste 100
Winston Salem, NC 27101
Phone (336) 606-8523

650 Highland Ave
Ste 110
Winston Salem, NC 27101
Phone (336) 597-2115

Interoperability endpoints

  • Direct secure messaging: zumo.kollie.p1@direct.daymarkrecovery.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1336441443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5856 OLD OAK RIDGE RD APT 703",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108423",
            "telephone_number": "336-508-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5856 OLD OAK RIDGE RD APT 703",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108423",
            "telephone_number": "336-508-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLIE",
        "first_name": "ZUMO",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.