MARY COLLINS


Address: 1209 17th Ave, Monroe, WI 53566-2050
Phone: 6087555260

MARY COLLINS (NPI# 1811384241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811384241
Entity Type Individual
Full Name MARY COLLINS
Credential LPC-IT, CSAC
Practice Address 1209 17th Ave
Monroe
WI 53566-2050
Mailing Address 20759 Burr Oak Rd
Capron
IL 61012-9616
Practice Telephone 6087555260
Mailing Telephone 8154822563
Enumeration Date 2015-04-23
Last Update Date 2020-04-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
16284-132 WI Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
7634-125 WI Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
3943-226 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 100078408 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1845 Grandstand Pl, Elgin, IL 601236603 8476950484

Other Providers MARY COLLINS

NPI Name Taxonomy Address Enumeration
1770132169 Mary Collins Technician 7221 Boggess, Houston, TX 77016 2019-09-09
1699332593 Mary Bridget Collins Counselor 1s132 Summit Ave Ste 305ab, Oakbrook Terrace, IL 60181-3955 2019-05-26
1184133993 Mary T. Collins Nurse's Aide 7313 Northline Dr Apt 711, Houston, TX 77076-1550 2017-09-25
1265953384 Mary Collins Social Worker 5959 West Loop S Ste 367, Bellaire, TX 77401-2420 2017-06-28
1033512975 Mary Collins Specialist 32 W Oakwood Pl, Buffalo, NY 14214-2308 2014-10-07
1215356506 Mary Beth Collins Specialist 509a Erwin Rd, Dunn, NC 28334-4517 2014-04-15
1922344852 Mary Elizabeth Collins Nurse Practitioner 1481 N Circle View Dr, Seven Hills, OH 44131-1618 2012-12-21
1942576897 Mary J Collins Registered Nurse 60- 02 60 Lane, Maspeth, NY 11378 2012-03-26
1295968055 Mary D Collins Occupational Therapy Assistant 1010 N. Hooker Street, Suite 301, Chicago, IL 60642-4633 2009-08-27
1013016583 Mary E. Collins Social Worker 29 Fennell St, Skaneateles, NY 13152-1117 2006-09-21

Office Location

Street Address 1209 17TH AVE
City MONROE
State WI
Zip Code 53566-2050

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043830334 The Willows Counseling and Emdr Center, LLC Clinic/Center 1209 17th Ave, Monroe, WI 53566-2050 2020-04-16
1144762857 Susan Shanks Counselor 1209 17th Ave, Monroe, WI 53566-2050 2016-11-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548752967 Mariah Mohns Occupational Therapy Assistant N3150 Wi- 81, Monroe, WI 53566 2018-06-01
1811414907 Yelena Gapchenko Pharmacist 515 22nd St., Monroe, WY 53566 2017-08-29
1508306283 Hilary Domke Occupational Therapist N3150 Wi-81, Monroe, WI 53566 2017-03-01
1699132332 Lisa Marty Social Worker N3152 Wi-81, Monroe, WI 53566 2016-01-26
1518223148 Lauren Nibler Craddock Dermatology 412 18th Ave, Monroe, WI 53566 2012-04-09
1033482799 Amber Gatdula Physical Therapy Assistant 2628 14th Street, Monroe, WI 53566 2012-02-10
1629361043 Tammy Noble Licensed Practical Nurse N2546 Ullom Rd., Monroe, WI 53566 2011-05-18
1023331683 Kristine Hudson Registered Nurse 1110 11th Street, Monroe, WI 53566 2010-03-10
1306005012 Rosemary Ann Graham Registered Nurse 2413 5th Ave, Monroe, WI 53566 2008-06-06
1174702559 Kelly Jo Jenson Chiropractor 1518 11th Street, Suite 1-2, Monroe, WI 53566 2007-11-01
Find all providers in zip 53566

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750902060 Lisa Tolmich Haughey Counselor 2658 Sleepy Hollow Rd, Monroe, GA 30655-5584 2020-04-28
1487280764 Hope and Purpose Counseling LLC Counselor 204 S Macomb St, Monroe, MI 48161-2121 2020-03-18
1154956688 Joseph Danso Manu Counselor 115 E Fambrough St Apt 123b, Monroe, GA 30655-2858 2020-03-05
1699314997 John Samaha Counselor 1518 11th St Ste 1-4, Monroe, WI 53566-1701 2020-01-03
1760039549 Tom Wayne Triplett Counselor 2321 Highway 80 East, Monroe, LA 71203-7120 2019-08-26
1881255347 Elnita Totarsha Ottey Counselor 2908 Eagle View Ln, Monroe, NC 28110-6315 2019-06-25
1861962730 Danny Shoemake Counselor 2080 Highway 78 Nw, Monroe, GA 30655 2018-12-04
1841774056 Life Healing Therapy, LLC Lauren M Fontana Sole Mbr Counselor 324 Elm St Ste 105b, Monroe, CT 06468-2283 2018-09-24
1477030310 Oscar Kelly Counselor 111 E 1st St Ste 200, Monroe, MI 48161-2265 2018-07-24
1972090413 Sharyn Stokes Counselor 116 E Phifer St, Monroe, NC 28110-3035 2018-04-19
Find all providers in MONROE

Competitor

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City MONROE
Zip Code 53566

Improve Information

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Dataset Information

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.

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