Individual provider Active NPI

James D Collins, LAC,LCADC, CCS

  • Addiction (Substance Use Disorder) Counselor
  • Wood Ridge, NJ
National Provider Identifier
1780483529
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00303000 Issued in NJ
Practice address
28 Charter Oak St
Wood Ridge, NJ 07075-2204
Phone
(201) 279-2194
Fax
(201) 279-2194
NPI assigned
Mar 12, 2025
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00303000 NJ Primary
Mental Health Counselor 101YM0800X 37AC00429400 NJ

Addresses

Primary practice location

28 Charter Oak St
Wood Ridge, NJ 07075-2204

Mailing address

28 Charter Oak St
Wood Ridge, NJ 07075-2204
Phone (201) 279-2194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00303000NJMDAddiction (Substance Use Disorder) Counselor
37AC00429400NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1780483529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CHARTER OAK ST",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070752204",
            "telephone_number": "201-279-2194",
            "fax_number": "201-279-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CHARTER OAK ST",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070752204",
            "telephone_number": "201-279-2194",
            "fax_number": "201-279-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LAC,LCADC, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00303000",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00429400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wood Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.