THOMAS B COLLETT (NPI# 1356971790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356971790 |
| Entity Type | Individual |
| Full Name | THOMAS B COLLETT |
| Practice Address |
4761 State Route 29 Celina OH 45822-8216 |
| Practice Telephone | 4195841000 |
| Practice Fax Number | 4195841825 |
| Mailing Telephone | 4195841000 |
| Mailing Fax Number | 4195841825 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
4761 STATE ROUTE 29 |
| City | CELINA |
| State | OH |
| Zip Code | 45822-8216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336118330 | Foundations Behavioral Health Services, Inc. | Clinic/Center | 4761 State Route 29, Celina, OH 45822-8216 | 2006-03-14 |
| 1548877566 | Celia Hitchcock | Social Worker | 4761 State Route 29, Celina, OH 45822-8216 | 2020-09-24 |
| 1396358909 | Vincent Graves | Social Worker | 4761 State Route 29, Celina, OH 45822-8216 | 2020-08-25 |
| 1427670280 | Brianna K Jurosic | Case Manager/Care Coordinator | 4761 State Route 29, Celina, OH 45822-8216 | 2020-05-14 |
| 1831723378 | Susan L Gray | Case Manager/Care Coordinator | 4761 State Route 29, Celina, OH 45822-8216 | 2020-02-24 |
| 1750926184 | Chelsey R Opasik | Case Manager/Care Coordinator | 4761 State Route 29, Celina, OH 45822-8216 | 2019-11-08 |
| 1528618063 | Savannah K Thees | Peer Specialist | 4761 State Route 29, Celina, OH 45822-8216 | 2019-09-17 |
| 1588218325 | Mariah Rindler | Case Manager/Care Coordinator | 4761 State Route 29, Celina, OH 45822-8216 | 2019-07-30 |
| 1205497229 | Lindsay Monnier | Social Worker | 4761 State Route 29, Celina, OH 45822-8216 | 2019-06-21 |
| 1033775788 | Gina Post | Case Manager/Care Coordinator | 4761 State Route 29, Celina, OH 45822-8216 | 2019-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467974014 | Emily Marie Metz | Speech-Language Pathologist | 715 E Wayne St, Celina, OH 45822 | 2017-07-14 |
| 1184161069 | Lyndie Brown | Speech-Language Pathologist | 903 East Wayne Street, Celina, OH 45822 | 2017-01-30 |
| 1225582752 | Momentum Counseling and Consultation, LLC | Social Worker | 427 E Market St, Celina, OH 45822 | 2016-08-13 |
| 1821497546 | Mindy Muhlenkamp | Occupational Therapist | 441 East Market Street, Celina, OH 45822 | 2014-08-19 |
| 1609136951 | Aaron D. Kuhn | Marriage & Family Therapist | 316 W. Market St, Celina, OH 45822 | 2012-05-21 |
| 1740436252 | Luis L. Perez | Family Medicine | 801 Pro Dr Ste D1, Celina, OH 45822 | 2008-08-15 |
| 1356538664 | Assisted Living Concepts Inc | Assisted Living Facility | 1506 Meadowview Drive, Celena, OH 45822 | 2007-10-01 |
| 1336369800 | Mercer County Board of Mrdd | Case Management | 4980 Mud Pike, Celina, OH 45822 | 2007-04-26 |
| 1720101371 | Mercer Residential Services Inc. | Supports Brokerage | 420 Sugar St, Celina, OH 45822 | 2007-04-09 |
| 1831236264 | Kristina M Goffena | Massage Therapist | 6673 Coldwater Beach Rd, Celina, OH 45822 | 2007-02-01 |
| Find all providers in zip 45822 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618063 | Savannah K Thees | Peer Specialist | 4761 State Route 29, Celina, OH 45822-8216 | 2019-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THOMAS B COLLETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.