Organization Active NPI

Rachel Collins, LPC

  • Adolescent and Children Mental Health Clinic/Center
  • North Haven, CT
National Provider Identifier
1780195339
Registry record updated Oct 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
002524 Issued in CT
Legal business name
RACHEL COLLINS, LPC
Practice address
410 State St RM 1
North Haven, CT 06473-3149
Phone
(203) 809-6774
Fax
(203) 774-1200
NPI assigned
Oct 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2017

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

Authorized official

Name
Rachel Collins, LPC
Title
Owner
Phone
(203) 809-6774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 002524 CT Primary

Addresses

Primary practice location

410 State St RM 1
North Haven, CT 06473-3149

Mailing address

4 S Main St Unit 6160
Wallingford, CT 06492-7772
Phone (203) 809-6774

National Provider Directory

National Provider Directory
Tax ID family
Rachel Collins LPC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

410 State St
Rm 1
North Haven, CT 06473
Phone (203) 610-5315

4 S Main St
Unit 6160
Wallingford, CT 06492

NPI Registry JSON

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

{
    "created_epoch": "1508630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508630400000",
    "number": "1780195339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S MAIN ST UNIT 6160",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064927772",
            "telephone_number": "203-809-6774",
            "fax_number": "203-774-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 STATE ST RM 1",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733149",
            "telephone_number": "203-809-6774",
            "fax_number": "203-774-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL COLLINS, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-22",
        "last_updated": "2017-10-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-809-6774",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": "002524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2017; 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.