Active NPI
Elizabeth McCollister, CT
- Counselor
- Westerville, OH
National Provider Identifier
1568176642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C.2204448-TRNE
- Practice address
- 171 Charring Cross Dr S
Westerville, OH 43081-2862 - Phone
- (614) 890-8262
- NPI assigned
- Jan 12, 2023
- Last updated
- Jan 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.2204448-TRNE | OH | Primary |
Addresses
Primary practice location
171 Charring Cross Dr S
Westerville, OH 43081-2862
Mailing address
4040 Saville CT
Columbus, OH 43224-1773
Phone (513) 252-3763
Other practice location 1
100 Dorchester Sq N Ste 102
Westerville, OH 43081-7305
Phone (890) 826-2614 ext. 721
Other names 1
- Ellie McCollister
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2204448-TRNE | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brett Fitzer LLC | Current | Accepting new patients | |
| Sydnie Johnson Counseling Services LLC | Past | Accepting new patients | |
| Fords LLC | Counselor | Past | Accepting new patients |
Locations
171 Charring Cross Dr S
Westerville, OH 43081
Phone (614) 890-8262
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Westerville, OH
- NPI 1225915259
-
- Community/Behavioral Health Agency
- Westerville, OH
- NPI 1063054427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1568176642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 SAVILLE CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432241773",
"telephone_number": "513-252-3763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 CHARRING CROSS DR S",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430812862",
"telephone_number": "614-890-8262"
}
],
"practiceLocations": [
{
"address_1": "100 Dorchester Sq N Ste 102",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430817305",
"country_code": "US",
"telephone_number": "890-826-2614 x721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOLLISTER",
"first_name": "ELIZABETH",
"credential": "CT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.2204448-TRNE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLIE",
"last_name": "MCCOLLISTER",
"credential": "CT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.