Colin Whitaker, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

012782 Issued in NY

Practice address

25 Charlton St
New York, NY 10014-4961

Phone

(860) 325-0693

NPI assigned

Nov 28, 2019

Last updated

Jan 6, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1574899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1760029524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHARLTON ST BSMT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144961",
            "telephone_number": "917-755-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHARLTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144961",
            "telephone_number": "860-325-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "COLIN",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-28",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "3945",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Thomas Whigham, M.D.
• Kara Landsman Whipple
• Ellen Dora Whirley, LCSW
• Agnes H. Whitaker, M.D.
• Beatrice Rose Whitaker, M.D.
• Gordon B Whitaker, LCSW
• Tanya Whitaker
• Zoey Whitaker, RN, NP
• Kimberly Marie Whitbeck-Drake, NP
• Matthew Alexander Whitcomb, PA

• Mental Health Counselor in New York, NY
• Providers in New York, 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 Jan 6, 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.

Verify at the official NPI Registry.