Active NPI
Robert Darryl Collier-Freed
- Marriage & Family Therapist
- Dayton, OH
National Provider Identifier
1942440078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 6030587-3902
- Practice address
- 7086 Corporate Way Ste 101
Dayton, OH 45459-4298 - Phone
- (801) 541-1212
- NPI assigned
- Mar 2, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 6030587-3902 | UT | Primary |
Addresses
Primary practice location
7086 Corporate Way Ste 101
Dayton, OH 45459-4298
Mailing address
7086 Corporate Way Ste 101
Dayton, OH 45459-4298
Phone (801) 540-1212
Other names 1
- Darryl Collier-Freed
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7086 Corporate Way
Suite 101
Dayton, OH 45459-4298
Phone (801) 540-1212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6030587-3902 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collier-Freed Psychotherapy | Current | Accepting new patients | |
| Shepherds Staff Christian Counseling Center Inc | Past | Accepting new patients |
Locations
7086 Corporate Way
Ste 101
Dayton, OH 45459
Phone (801) 540-1212
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dayton, OH
- NPI 1457971210
-
dba Christian Counseling Centers of Utah
- Clinical Psychologist
- Midvale, UT
- NPI 1558395525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1942440078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7086 CORPORATE WAY STE 101",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594298",
"telephone_number": "801-540-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7086 CORPORATE WAY STE 101",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594298",
"telephone_number": "801-541-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER-FREED",
"first_name": "ROBERT",
"middle_name": "DARRYL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-02",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "6030587-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DARRYL",
"last_name": "COLLIER-FREED",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.