Organization Active NPI

Collaborative Educational Consultation and Counseling

Doing business as Center for Collaborative Change

  • Mental Health Counselor
  • Exeter, NH
National Provider Identifier
1881296671
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COLLABORATIVE EDUCATIONAL CONSULTATION AND COUNSELING
Doing business as
Center for Collaborative Change
Practice address
21 Hampton Rd
Exeter, NH 03833-4831
Phone
(603) 686-5169
Fax
(603) 686-5008
NPI assigned
Nov 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Benjamin Coyle Hillyard, M.ED., LCMHCNPI 1053408922
Title
Psychotherapist
Phone
(603) 686-5169

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

21 Hampton Rd
Exeter, NH 03833-4831

Mailing address

21 Hampton Rd
Exeter, NH 03833-4831
Phone (603) 686-5169

Other identifiers 1

IdentifierTypeStateIssuer
3081211MedicaidNH

Other names 1

  • Center for Collaborative Change Doing business as

National Provider Directory

National Provider Directory

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": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1881296671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HAMPTON RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334831",
            "telephone_number": "603-686-5169",
            "fax_number": "603-686-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HAMPTON RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334831",
            "telephone_number": "603-686-5169",
            "fax_number": "603-686-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE EDUCATIONAL CONSULTATION AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "HILLYARD",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "COYLE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "603-686-5169",
        "authorized_official_credential": "M.ED., LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081211",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Collaborative Change",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.