Collaborative Solutions Corporation

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

COLLABORATIVE SOLUTIONS CORPORATION

Practice address

118 Clark Rd
Williamstown, VT 05679-9449

Phone

(802) 231-4096

Fax

(802) 433-1309

NPI assigned

Jul 3, 2023

Organization subpart

No

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

Authorized official

Name

Rob Farrell, MS

Title

CSC Director of Operations

Phone

(802) 477-3145

Specialties & licenses 2

Addresses

Other names 2

• Second Spring North Doing business as
• Second Spring South Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Tabachnick, PA-C

  • Physician Assistant
  • Burlington, VT
  • NPI 1497875132
  NPD (past)

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1376220178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054770320",
            "telephone_number": "802-433-6183",
            "fax_number": "802-434-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CLARK RD",
            "city": "WILLIAMSTOWN",
            "state": "VT",
            "postal_code": "056799449",
            "telephone_number": "802-231-4096",
            "fax_number": "802-433-1309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1071 Vt Route 15",
            "address_purpose": "LOCATION",
            "city": "Underhill",
            "state": "VT",
            "postal_code": "054899341",
            "country_code": "US",
            "telephone_number": "802-899-1328",
            "fax_number": "802-899-1329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLLABORATIVE SOLUTIONS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CSC DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "802-477-3145",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Second Spring North",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Second Spring North",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Second Spring South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chantel Bernier
• Central Vermont Supervisory Union
• Jessa Denton
• Linda Ann Fasci, APRN
• Johan Green, LADC
• Lauren Lawrence
• Pehle Counseling Services

• Case Manager/Care Coordinator in Williamstown, VT
• Providers in Williamstown, VT by specialty
• Case Manager/Care Coordinator in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.