Individual provider Active NPI

Colleen Marie Catania, LCPC, CADC, NCC

  • Counselor
  • Redlands, CA
National Provider Identifier
1497031728
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180.007156 Issued in IL
Practice address
308 W State St Ste 3D
Redlands, CA 92373-4653
Phone
(949) 409-5781
NPI assigned
Nov 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.007156 IL Primary

Addresses

Primary practice location

308 W State St Ste 3D
Redlands, CA 92373-4653

Mailing address

324 Lake Gillilan Way
Algonquin, IL 60102-5014
Phone (815) 341-0566

Other practice location 1

420 N Rand Rd
North Barrington, IL 60010-1496
Phone (815) 341-0566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240201002095 CA Practitioner - Mental Health Counselor 8123471596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

308 W State St
Suite 3D
Redlands, CA 92373-4653
Phone (949) 409-5781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.007156ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Owl Counseling Services CurrentSince Jan 1, 2024 Accepting new patients

Locations

308 W State St
Ste 3D
Redlands, CA 92373
Phone (909) 566-9669

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": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1497031728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 LAKE GILLILAN WAY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025014",
            "telephone_number": "815-341-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W STATE ST STE 3D",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734653",
            "telephone_number": "949-409-5781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N Rand Rd",
            "address_purpose": "LOCATION",
            "city": "North Barrington",
            "state": "IL",
            "postal_code": "600101496",
            "country_code": "US",
            "telephone_number": "815-341-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CATANIA",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCPC, CADC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.007156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.