Individual provider Active NPI

Colleen G. Tunney, MS LMHC

  • Mental Health Counselor
  • Rutland, MA
National Provider Identifier
1356477210
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5866 Issued in MA
Practice address
60 Miles Road
Devereux
Rutland, MA 01543
Phone
(508) 886-4746
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5866 MA Primary

Addresses

Primary practice location

60 Miles Road
Devereux
Rutland, MA 01543

Mailing address

9 Olde Parish LN
Sterling, MA 01564-2142
Phone (508) 886-0354

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5866MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Devereux Foundation Past Accepting new patients
Devereux Past Accepting new patients

Organizations & group practices 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356477210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OLDE PARISH LN",
            "city": "STERLING",
            "state": "MA",
            "postal_code": "015642142",
            "telephone_number": "508-886-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MILES ROAD",
            "address_2": "DEVEREUX",
            "city": "RUTLAND",
            "state": "MA",
            "postal_code": "01543",
            "telephone_number": "508-886-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNNEY",
        "first_name": "COLLEEN",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "MS LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, MA

Sources for this page

  • 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.