MS. KRYSTAL JACQUELLE COLLINS (NPI# 1003341686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003341686 |
| Entity Type | Individual |
| Full Name | MS. KRYSTAL JACQUELLE COLLINS |
| Practice Address |
104 Sassafras St Amite LA 70422-3425 |
| Practice Telephone | 2256448565 |
| Practice Fax Number | 2256446261 |
| Mailing Telephone | 2256448565 |
| Mailing Fax Number | 2256446261 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780230375 | Krystal Collins | Nurse Practitioner | 9800 Baptist Health Dr Ste 600, Little Rock, AR 72205-6244 | 2019-08-10 |
| 1477979607 | Krystal Collins | Residential Treatment Facility, Emotionally Disturbed Children | 21010 S 220th Pl, Queen Creek, AZ 85142-5583 | 2014-03-12 |
| 1811401409 | Krystal Alexandra Collins | Speech-Language Pathologist | 135 River St, New Canaan, CT 06840-4236 | 2017-11-19 |
| 1285920199 | Krystal L Collins | Community Health Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2011-06-20 |
| 1669799169 | Krystal Ann Collins | Nurse Practitioner | 801 N Weisgarber Rd, Suite 200, Knoxville, TN 37909-2706 | 2010-04-23 |
| Street Address |
104 SASSAFRAS ST |
| City | AMITE |
| State | LA |
| Zip Code | 70422-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376993584 | Lynette Parker | Social Worker | 104 Sassafras St, Amite, LA 70422-3425 | 2016-06-18 |
| 1326572736 | Jerilyn Celestine | Counselor | 104 Sassafras St, Amite, LA 70422-3425 | 2017-04-13 |
| 1932651387 | Chantalyn Jackson | Counselor | 104 Sassafras St, Amite, LA 70422-3425 | 2016-11-02 |
| 1881047249 | Tyrell Orlandus Norman | Counselor | 104 Sassafras St, Amite, LA 70422 | 2016-07-20 |
| 1962855528 | Gayle Dillon | Counselor | 104 Sassafras St, Amite, LA 70422-3425 | 2016-07-19 |
| 1861845422 | Carmen Kinzy | Counselor | 104 Sassafras St, Amite, LA 70422-3425 | 2016-07-19 |
| 1992155154 | Clarisa Castaneda | Counselor | 104 Sassafras St, Amite, LA 70422-3425 | 2016-06-20 |
| 1093165110 | Arian D Keys | Counselor | 104 Sassafras St, Amite, LA 70422-3425 | 2016-06-20 |
| 1275983413 | Alanna Evans | Counselor | 104 Sassafras St, Amite, LA 70422-3425 | 2016-06-19 |
| 1043660269 | Kimberly Chachere | Counselor | 104 Sassafras St, Amite, LA 70422-3425 | 2016-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829060 | Antwyla Chadell Lee | Non-emergency Medical Transport (VAN) | 3285 Hwy 1045, Amite, Amite, LA 70422 | 2019-09-09 |
| 1124686571 | Angela Rook Paretti | Nurse Practitioner | 409 Nw Central Ave Ste B, Amite, LA 70422 | 2019-05-31 |
| 1902328370 | Michael Anthony Showers | Counselor | 17536 Rising Fawn Rd, Amite, LA 70422 | 2017-07-07 |
| 1023552064 | Javier E Moreno | Occupational Therapist | 216 North 2nd Street, Amite, LA 70422 | 2016-12-09 |
| 1578921938 | Kelan Woods | Counselor | 11466 Wheeler Rd, Amite, LA 70422 | 2016-02-01 |
| 1538533203 | Trina Fisher | Social Worker | 1011 Nw Central Suite N, Amite, LA 70422 | 2015-11-18 |
| 1538549621 | Linda Coleman | Counselor | 1011 Nw Central Avenue, Suite N, Amite, LA 70422 | 2015-06-03 |
| 1437553807 | Cheryl Smith | Registered Nurse | 330 West Oak, Amite, LA 70422 | 2014-10-14 |
| 1972911345 | Counseling Services | Marriage & Family Therapist | 12330 Larock, Amite, LA 70422 | 2014-07-29 |
| 1558628057 | Latonya L Smith | Counselor | 1011 Nw Central Ave Ste N, Amite, LA 70422 | 2012-04-20 |
| Find all providers in zip 70422 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558818716 | Shenika Turner | Counselor | 1823 Mcdaniel Rd, Amite, LA 70422-6739 | 2016-09-06 |
| 1538549621 | Linda Coleman | Counselor | 1011 Nw Central Avenue, Suite N, Amite, LA 70422 | 2015-06-03 |
| 1558628057 | Latonya L Smith | Counselor | 1011 Nw Central Ave Ste N, Amite, LA 70422 | 2012-04-20 |
| 1447780333 | Shemeka D Green | Counselor | 203 E Oak St, Amite, LA 70422-2817 | 2017-06-14 |
| 1326572736 | Jerilyn Celestine | Counselor | 104 Sassafras St, Amite, LA 70422-3425 | 2017-04-13 |
| 1932651387 | Chantalyn Jackson | Counselor | 104 Sassafras St, Amite, LA 70422-3425 | 2016-11-02 |
| 1881047249 | Tyrell Orlandus Norman | Counselor | 104 Sassafras St, Amite, LA 70422 | 2016-07-20 |
| 1962855528 | Gayle Dillon | Counselor | 104 Sassafras St, Amite, LA 70422-3425 | 2016-07-19 |
| 1861845422 | Carmen Kinzy | Counselor | 104 Sassafras St, Amite, LA 70422-3425 | 2016-07-19 |
| 1992155154 | Clarisa Castaneda | Counselor | 104 Sassafras St, Amite, LA 70422-3425 | 2016-06-20 |
| Find all providers in AMITE | ||||
Please comment or provide details below to improve the information on MS. KRYSTAL JACQUELLE COLLINS.
| 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.