Individual provider Active NPI

William Rocco Colagrande, MS

  • Mental Health Counselor
  • Kingston, NY
National Provider Identifier
1568632883
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001603-1 Issued in NY
Practice address
275 Fair St
Suite 10B
Kingston, NY 12401-3800
Phone
(845) 339-6250
NPI assigned
Mar 3, 2008
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001603-1 NY Primary

Addresses

Primary practice location

275 Fair St
Suite 10B
Kingston, NY 12401-3800

Mailing address

275 Fair St
Suite 10B
Kingston, NY 12401-3800
Phone (845) 339-6250

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001603-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1568632883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 FAIR ST",
            "address_2": "SUITE 10B",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013800",
            "telephone_number": "845-339-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 FAIR ST",
            "address_2": "SUITE 10B",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013800",
            "telephone_number": "845-339-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAGRANDE",
        "first_name": "WILLIAM",
        "middle_name": "ROCCO",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001603-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.