Drew Allen Collins, CSW, SAC-IT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16960-130 Issued in WI

Practice address

505 S Washburn St
Oshkosh, WI 54904-7949

Phone

(920) 232-2332

NPI assigned

Apr 26, 2016

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.

• Ams of Wisconsin LLC

  • Methadone Clinic
  • Oshkosh, WI
  • NPI 1740651330
  NPD (past)
• Ams of Wisconsin, LLC

  • Methadone Clinic
  • Onalaska, WI
  • NPI 1003150004
  NPD (past)

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1558716670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S WASHBURN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047949",
            "telephone_number": "920-232-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S WASHBURN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047949",
            "telephone_number": "920-232-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DREW",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "CSW, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16960-130",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "11508-120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy C Collar, LMT
• Tombong Colley
• Jill M Collier, PMHNP, APNP
• Joshua Thorp Collier, OTR
• Andrew J Collins, MD
• Tarra Anne Combs
• Comforting Home Care LLC
• Comforting Home Care LLC
• Brandon Lee Coppersmith, DDS
• David F Corso, PT, LAT

• All providers in Oshkosh, WI
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.