Jesse Daniel Collins, PHD, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH10669 Issued in FL

Practice address

15310 Amberly Dr Ste 250
Tampa, FL 33647-1642

Phone

(813) 376-6234

NPI assigned

Apr 2, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1003312703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 ROYAL CYPRESS CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336475052",
            "telephone_number": "813-376-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15310 AMBERLY DR STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471642",
            "telephone_number": "813-376-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JESSE",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin Buchanan
• Charles Collins, BA
• Christine Collins, PA
• Felicia Norrelle Collins, CRNA
• Gabriela Ida Collins, OT
• John Paul Collins, PT
• Kaitlyn Collins
• Karen K Collins, LMT
• Kenya Nicole Collins, COTA/L
• Kimberly A Collins, MD

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.