COLLECTIVE COUNSELING CENTER LLC NPI 1366923005

NPI Information

  • NPI: 1366923005
  • Provider Name: COLLECTIVE COUNSELING CENTER, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 290 TURNPIKE RD STE 5-138
    WESTBOROUGH, MA
    ZIP 01581
  • Phone: (508) 418-6608

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NPI Details

COLLECTIVE COUNSELING CENTER, LLC is a mental health (including community mental health center) clinic center in Westborough, MA. COLLECTIVE COUNSELING CENTER, LLC NPI is 1366923005. The provider is registered as an organization entity type.

The provider's business location address is:

290 TURNPIKE RD STE 5-138
WESTBOROUGH, MA
ZIP 01581-843
Phone: (508) 418-6608
Fax: (508) 475-9396

The provider's authorized official is Kelley A Smith .
The authorized official title is Owner and has the following contact phone number (508) 479-5202.

The enumeration date for this NPI number is 8/21/2018 and was last updated on 7/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)121289MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11093023517MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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