Kevin Dean Collins, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00001181 Issued in WA

Practice address

1026 E 1St St
Port Angeles, WA 98362-4020

Phone

(360) 452-4432

Fax

(360) 452-4599

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1013098219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 E 1ST ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624020",
            "telephone_number": "360-452-4432",
            "fax_number": "360-452-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 E 1ST ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624020",
            "telephone_number": "360-452-4432",
            "fax_number": "360-452-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KEVIN",
        "middle_name": "DEAN",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00001181",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "RC00017145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1981018",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirk A Cole, MD
• Glenda Jeannette Coleman, CDP
• Collaborative Counseling LLC
• Ann D Colley, M.ED., LMHC, LMFT
• Debra Dawn Collins, LMP
• Rachel D Colthorp, L.AC
• Jessica Marie Colwell, MD
• Kimberly Dawn Conley, PMHNP
• Kevin L Conroy, N.D.
• Brigham R Consoliver, RPH

• Addiction (Substance Use Disorder) Counselor in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.