COLLABORATIVE MENTAL WELLNESS
NPI 1073210803
Community/Behavioral Health in Harrisburg, PA

Q: What is Collaborative Mental Wellness's NPI number?

The NPI number for Collaborative Mental Wellness is 1073210803. It was assigned to this organization in the NPPES registry on February 13, 2023.

Q: What is Collaborative Mental Wellness's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 13, 2023

940 E PARK DR STE 206, HARRISBURG, PA 17111(717) 421-7629 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Collaborative Mental Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLABORATIVE MENTAL WELLNESS (NPI 1073210803) is a healthcare organization registered as a community/behavioral health in Harrisburg, Pennsylvania and active in the NPI registry since February 2023. The organization lists Duronn Stern, Owner/clinical Director, as its authorized official.

NPPES Registry Identity

NPI1073210803

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCOLLABORATIVE MENTAL WELLNESS

Location Address940 E PARK DR STE 206Harrisburg, PA 17111-2800

Mailing Address940 E Park Dr Ste 206Harrisburg, PA 17111-2800 · (717) 421-7629

Phone(717) 421-7629

Organization SubpartNo

Authorized OfficialDuronn SternOwner/clinical Director · (717) 421-7629

Enumeration DateFebruary 13, 2023

NPPES CertifiedFebruary 13, 2023

✔ NPI 1073210803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

940 E PARK DR STE 206, Harrisburg, PA 17111

Open in Google Maps ↗

Other Identifiers 1

Medicaid1942835327PA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Collaborative Mental Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Collaborative Mental Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Duronn Stern, LCSW

Clinical Social Worker

NPI 1942835327

940 E PARK DR STE 206
Harrisburg, PA 17111

(717) 421-7629

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collaborative Mental Wellness's NPI number?

The NPI number for Collaborative Mental Wellness is 1073210803. It was assigned to this organization in the NPPES registry on February 13, 2023.

Where is Collaborative Mental Wellness located?

Collaborative Mental Wellness is located at 940 E Park Dr Ste 206, Harrisburg, PA 17111. The listed phone number is (717) 421-7629.

What is Collaborative Mental Wellness's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Collaborative Mental Wellness enrolled in Medicare?

Yes. Collaborative Mental Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Collaborative Mental Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Collaborative Mental Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Collaborative Mental Wellness was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.