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Deactivated NPI 1184925307 Deactivated / Inactive NPI Male Practitioner

Justin Charles Collins , JUSTIN COLLINS

Counselor • Wareham, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Justin Collins has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 04, 2010
NPI Deactivation Date October 30, 2020
Total Practice Duration ~10 Years of Practice (2010 – 2020)

Professional Overview & Biography Verified Profile Summary

Justin Collins, JUSTIN COLLINS was a registered Counselor practicing in Wareham, MA. Throughout an active medical career spanning 10 years, Justin Collins provided care at the practice location at 36 WANCINKCOAH AVE until profile deactivation on 2020-10-30.

Practice Location & Contact Primary Location

Practice Address

36 Wancinkcoah Ave

Wareham, MA 025719998

Telephone 6172404610

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Wareham, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Wareham, MA (9162 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 30, 2020

Record deactivated on October 30, 2020

NPI Profile Active November 04, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 04, 2010

Registered at 36 WANCINKCOAH AVE, WAREHAM, MA 025719998 (Tel: 6172404610)

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Updated Business Mailing Address November 04, 2010

Registered at 36 WANKINCO AVE, 36 WANCINKOAH, WAREHAM, MA 025712530 (Tel: 6172404610)

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Provider Name / Credentials Updated November 04, 2010

Recorded as JUSTIN COLLINS, JUSTIN COLLINS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2010

Counselor

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Initial NPI Registration & Enumeration November 04, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184925307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2010
Last Update: November 04, 2010
Deactivation Date: October 30, 2020

Mailing Address

36 Wankinco Ave, 36 Wancinkoah

Wareham, MA 025712530

Phone: 6172404610

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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