MARY COLLINS (NPI# 1811384241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 100078408 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1845 Grandstand Pl, Elgin, IL 601236603 | 8476950484 |
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 |
Street Address |
1209 17TH AVE |
City | MONROE |
State | WI |
Zip Code | 53566-2050 |
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 |
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 Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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 |
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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.