Daniel Robert Collins, LCDC II

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

24865 Detroit Rd
Westlake, OH 44145-2512

Phone

(440) 250-8800

NPI assigned

Dec 28, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Old School LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Lakewood, OH
  • NPI 1215329909
  NPD (past)

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1336655331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22592 LENOX DR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263605",
            "telephone_number": "412-953-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24865 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452512",
            "telephone_number": "440-250-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441293169",
            "country_code": "US",
            "telephone_number": "866-934-7450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5209 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441033703",
            "country_code": "US",
            "telephone_number": "216-881-0765 x275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17400 Northwood Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "OH",
            "postal_code": "441072210",
            "country_code": "US",
            "telephone_number": "216-407-0437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LCDC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-28",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "1613555",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coleman O. Clougherty, D.P.M., LLC
• Cameron Michael Coleman, APRN-CNP
• John E. Coletta, M.D.
• Thomas Anthony Coletto, D.C.
• Jordin Collier
• Paloma Colon, RBT
• Marcia Columbro, M.D.
• Community Hospitalist, LLC
• Comprehensive Behavioral Specialists LLC
• Comprehensive Pediatrics Inc

• Behavior Technician in Westlake, OH
• Providers in Westlake, OH by specialty
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.