DR. JILL D. MCCOLLUM (NPI# 1467518415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467518415 |
| Entity Type | Individual |
| Full Name | DR. JILL D. MCCOLLUM |
| Credential | PHD - LCPC |
| Practice Address |
1396 Broadway South Portland ME 04106-4111 |
| Mailing Address |
650 Island Ave Long Island ME 04050-3311 |
| Practice Telephone | 2077999600 |
| Practice Fax Number | 2077999600 |
| Mailing Telephone | 2077999600 |
| Mailing Fax Number | 2077999600 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC2230 | ME | Behavioral Health & Social Service Providers |
| Street Address |
1396 BROADWAY |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285176677 | Jennifer Queally | Counselor | 60 Chase St, South Portland, ME 04106-3931 | 2016-11-16 |
| 1932512589 | Mashelle Louise Krier | Counselor | 51 Baltimore Ave, South Portland, ME 04106-4451 | 2014-06-10 |
| 1215365853 | Britta Baghestani | Counselor | 280 Gannett Dr, South Portland, ME 04106-6940 | 2013-10-16 |
| 1578852331 | Kelly Purinton | Counselor | 74 Huntress Ave, South Portland, ME 04106-4114 | 2011-04-01 |
| 1881903417 | Kenneth Olson | Counselor | 324 Gannett Dr Ste 300, South Portland, ME 04106-3269 | 2010-09-30 |
| 1316272164 | Stephanie Duley Richardson | Counselor | 52 Ocean St, Suite 3, South Portland, ME 04106-2829 | 2009-10-13 |
| 1932336823 | Dawn Ellen Ascanio | Counselor | 270 Elm St, South Portland, ME 04106-4334 | 2009-06-17 |
| 1609906320 | Stephanie Lee Cater | Counselor | 49 Atlantic Pl, South Portland, ME 04106-2316 | 2007-03-06 |
| 1053343897 | Janice L Kienzle | Counselor | 884 Broadway Ste 13, South Portland, ME 04106-4371 | 2006-07-06 |
| 1114425956 | Adeena Vogel | Counselor | 49 Atlantic Pl, South Portland, ME 04106-2316 | 2018-01-26 |
| Find all providers in SOUTH PORTLAND | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on DR. JILL D. MCCOLLUM.
| 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.