Organization Active NPI

Collaborative Counseling, LLC

  • Community/Behavioral Health Agency
  • North Adams, MA
National Provider Identifier
1679125173
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COLLABORATIVE COUNSELING, LLC
Practice address
131 Mass Moca Way
North Adams, MA 01247
Phone
(413) 446-8833
NPI assigned
Jul 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Abigail W. Reifsnyder, LICSWNPI 1639302565
Title
Resident Agent
Phone
(413) 446-8833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

131 Mass Moca Way
North Adams, MA 01247

Mailing address

173 Sand Springs Road
Williamstown, MA 01267
Phone (413) 446-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191213001405 MA Part B Supplier - Clinic/Group Practice 6103259643 Receives reassigned benefits from 1 practitioner
Practice locations: North Adams, MA

National Provider Directory

National Provider Directory

Locations

135 Mass Moca Way
North Adams, MA 01247
Phone (413) 446-8833

131 Mass Moca Way
North Adams, MA 01247
Phone (413) 346-7528

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1679125173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 SAND SPRINGS ROAD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "01267",
            "telephone_number": "413-446-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MASS MOCA WAY",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "01247",
            "telephone_number": "413-446-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "REIFSNYDER",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "RESIDENT AGENT",
        "authorized_official_telephone_number": "413-446-8833",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.