Thomas B Collett
Individual provider Active NPI Peer Specialist · Celina, OH
NPI 1356971790 · NPPES record last updated Jan 24, 2020
Key facts
- NPI
- 1356971790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 4761 State Route 29
Celina, OH 45822-8216 - Phone
- (419) 584-1000
- Fax
- (419) 584-1825
- NPI assigned
- Jan 24, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
4761 State Route 29
Celina, OH 45822-8216
Mailing address
4761 State Route 29
Celina, OH 45822-8216
Phone (419) 584-1000
Other providers in Celina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.