Colin Kowlessar, LMHC,CASAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007386 Issued in NY

Practice address

17732 129TH Ave
Jamaica, NY 11434-5822

Phone

(718) 300-1018

NPI assigned

Sep 30, 2016

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nassau Medical Home Visits PCGroup PAC ID 8921390121, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: colinkowlessar@tdh.allscriptsdirect.net

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.

• Nassau Medical Home Visits P.C.

  • Internal Medicine Physician
  • Syosset, NY
  • NPI 1104270198
  Medicare reassignment Care Compare group NPD
• Comprehensive Counseling LCSW, PLLC

  • Clinical Social Worker
  • Bayside, NY
  • NPI 1982798773

  Mental Health

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  NY

  Medicare reassignment NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1689123796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17732 129TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345822",
            "telephone_number": "718-300-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17732 129TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345822",
            "telephone_number": "718-300-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWLESSAR",
        "first_name": "COLIN",
        "credential": "LMHC,CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007386",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "23490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Betty Kosseh-Butcher, RN
• Sudharani Subba Kotha, MD
• Aakansh Mukesh Kothari
• Neetu Koul
• Olivia Hanna Koury, MD, MSC.
• Zalman Koyenov
• Jennifer Kramer, LMHC
• Yitzchok Kramer
• Brian Krasnick
• Elonna Kravets, FNP

• Mental Health Counselor in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.