Individual provider Active NPI

Colette Opal Allen

  • Psychiatric/Mental Health Nurse Practitioner
  • East Orange, NJ
National Provider Identifier
1609741867
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26MJ15064200 Issued in NJ
Practice address
576 Central Ave FL 3
East Orange, NJ 07018-1951
Phone
(973) 561-4212
NPI assigned
Oct 8, 2025
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26MJ15064200 NJ Primary

Addresses

Primary practice location

576 Central Ave FL 3
East Orange, NJ 07018-1951

Mailing address

564 Sinclair Ter
South Orange, NJ 07079-2624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107000016 NJ Practitioner - Nurse Practitioner 4284124215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NLP Behavioral Services LLCGroup PAC ID 5294773297, 3 clinicians

Practice addresses (Care Compare)

175 Bartley Rd
Jackson, NJ 08527-1241
Phone (732) 431-8075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26MJ15064200NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NLP Behavioral Services LLC CurrentSince Aug 25, 2025 Accepting new patients
Mental Health First LLC Psychiatric/Mental Health CurrentSince Nov 30, 2025 Accepting new patients

Locations

576 Central Ave
Fl 3
East Orange, NJ 07018
Phone (973) 255-0737

175 Bartley Rd
Jackson, NJ 08527
Phone (732) 370-4700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1609741867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 SINCLAIR TER",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 CENTRAL AVE FL 3",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181951",
            "telephone_number": "973-561-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "COLETTE",
        "middle_name": "OPAL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26MJ15064200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.