Jennifer Lynn Kollar, M.A.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1100 Issued in CT

Practice address

433 Valley St
Willimantic, CT 06226-1901

Phone

(860) 456-7200

Fax

(860) 456-7202

NPI assigned

May 24, 2010

Last updated

Nov 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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 CT

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waterstone Counseling Center LLCGroup PAC ID 0749681070, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Waterstone Counseling Center, LLC

  • Family Medicine Physician
  • Madison, CT
  • NPI 1851767933

  Clinical

  Medicare reassignment Care Compare group NPD
• Waterstone Health LLC

  • Family Medicine Physician
  • Madison, CT
  • NPI 1700600053

  Clinical

  Medicare reassignment NPD
• Community Health Resources, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Windsor, CT
  • NPI 1215979810
  NPD (past)
• Legal Social Work Consultants LLC

  • Clinical Social Worker
  • Branford, CT
  • NPI 1699281691
  NPD (past)

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1912226424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 LEDGEWOOD RD",
            "address_2": "APARTMENT 305",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406614",
            "telephone_number": "860-333-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 VALLEY ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261901",
            "telephone_number": "860-456-7200",
            "fax_number": "860-456-7202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Bradley Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064432644",
            "country_code": "US",
            "telephone_number": "203-245-0412",
            "fax_number": "203-612-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLLAR",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1100",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Kilgannon, M.D.
• Brian King, M.D.
• Elyse Kirschblum, MA CCC-A
• Steven E Knotts, CRNA
• Ajit J Kokkat, M.D.
• Jennifer M Koller
• Leszek A Kolodziejczak, MD
• Kathyrn Amanda Konow
• Carlos A Kooyip
• Lacy Kornilieff, LCSW

• Addiction (Substance Use Disorder) Counselor in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.