Individual provider Active NPI

Jane Carol Collaso, MSW, LCSW

  • Mental Health Counselor
  • Yardley, PA
National Provider Identifier
1962491407
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW124731 Issued in PA
Practice address
668 Stony Hill Rd
255
Yardley, PA 19067-4497
Phone
(215) 750-0459
Fax
(215) 750-0489
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC04734600 NJ
Mental Health Counselor 101YM0800X SW124731 PA Primary
Mental Health Counselor 101YM0800X 044809-1 NY

Addresses

Primary practice location

668 Stony Hill Rd
255
Yardley, PA 19067-4497

Mailing address

668 Stony Hill Road
#255
Yardley, PA 19067-4497
Phone (215) 750-0459

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
44SC04734600NJMDMental Health Counselor
044809-1NYMDMental Health Counselor
SW124731PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1962491407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 STONY HILL ROAD",
            "address_2": "#255",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674497",
            "telephone_number": "215-750-0459",
            "fax_number": "215-750-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 STONY HILL RD",
            "address_2": "255",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674497",
            "telephone_number": "215-750-0459",
            "fax_number": "215-750-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLASO",
        "first_name": "JANE",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC04734600",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW124731",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "044809-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.