LUCKY COLLINS (NPI# 1235795063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235795063 |
| Entity Type | Individual |
| Full Name | LUCKY COLLINS |
| Practice Address |
4330 W 13th Ave Gary IN 46404-1614 |
| Mailing Address |
3117 Hopkins St Steger IL 60475-1154 |
| Practice Telephone | 2195528336 |
| Mailing Telephone | 7735952912 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3117 Hopkins St, Steger, IL 604751154 | 7735952912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417976903 | Lucky Lee Collins | Social Worker | 416 S 4th St, Danville, KY 40422-2085 | 2006-07-18 |
| Street Address |
4330 W 13TH AVE |
| City | GARY |
| State | IN |
| Zip Code | 46404-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952898603 | Stacy Francine Stringer | Social Worker | 4330 W 13th Ave, Gary, IN 46404-1614 | 2018-04-18 |
| 1699332213 | Kiessa D Hamilton | Social Worker | 4330 W 13th Ave, Gary, IN 46404-1614 | 2019-05-20 |
| 1730746256 | Tamara Rachelle Gilmore | Social Worker | 4330 W 13th Ave, Gary, IN 46404-1614 | 2019-05-20 |
| 1558837161 | Inside Out 'your Voice,your Story' LLC. | Clinic/Center | 4330 W 13th Ave, Gary, IN 46404-1614 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447672431 | Night Owl Inc. Home Care | In Home Supportive Care | 2209 Marshall St., Gary, IN 46404 | 2014-01-10 |
| 1881974608 | Verlilia Ann Pettigrew | Community Health Worker | 2144 Taney Pl, Gary, IN 46404 | 2011-08-24 |
| 1871682161 | Bmo Home Health Care Inc | Home Health | 1970 Grant Street, Gary, IN 46404 | 2006-10-12 |
| 1225064793 | Medical Supply Plus Inc | Durable Medical Equipment & Medical Supplies | 1982 Grant Street, Gary, IN 46404 | 2006-06-24 |
| 1275808065 | Suma Suresh Nair | Occupational Therapist | 2350 Taft Street, Timberview Health Care, Gary, IN 46404 | 2012-03-13 |
| 1093123234 | Lynne Marie Clapman | Nurse Practitioner | 1619 W. 5th Ave, Gary, IN 46404-0789 | 2014-07-31 |
| 1609193770 | Sandra A Scott | Custodial Care Facility | 300 Taft St, Gary, IN 46404-1016 | 2010-04-28 |
| 1760682652 | Marion Bernice Miller | Registered Nurse | 260 Arthur St, Gary, IN 46404-1118 | 2007-07-19 |
| 1932708575 | Jasmine Anita Johnson | Nurse's Aide | 431 Hayes St, Gary, IN 46404-1135 | 2020-10-24 |
| 1700086402 | Rosa L Murphy | Home Health Aide | 324 Mckinley St, Gary, IN 46404-1144 | 2007-07-20 |
| Find all providers in zip 46404 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035507 | Christopher Parker | Counselor | 855 Taft St, Gary, IN 46404-1255 | 2020-08-25 |
| 1023504198 | Austin Jerome Malone | Counselor | 4905 Melton Rd, Gary, IN 46403-2873 | 2018-07-02 |
| 1790274504 | Hidejah Rasheeda Walter | Counselor | 2710 W 7th Pl, Gary, IN 46404-1217 | 2018-05-07 |
| 1912418880 | Voyage LLC | Counselor | 2471 Noble St, Gary, IN 46404-3269 | 2017-10-18 |
| 1851814339 | Kemuel Sean Hawkins | Counselor | 7318 Hemlock Ave, Gary, IN 46403-2153 | 2017-07-17 |
| 1295273035 | Lisa Johnson | Counselor | 498 W 22nd Pl, Gary, IN 46407-3010 | 2017-01-31 |
| 1265833990 | Dwight Williams | Counselor | 1122 W 47th Ave, Gary, IN 46408-4408 | 2014-09-12 |
| 1508297417 | Linda Tolbert | Counselor | 101 N Montgomery St, Gary, IN 46403-3921 | 2013-12-02 |
| 1548530439 | Sibis Counseling Center LLC | Counselor | 3195 Broadway Lowr Level, Gary, IN 46409-1006 | 2012-01-09 |
| 1366606592 | Tamara Rose Williams | Counselor | 1649 Broadway, Gary, IN 46407-2231 | 2008-07-16 |
| Find all providers in GARY | ||||
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| 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.