Active NPI
Steven Collins, MA, LPC
- Mental Health Counselor
- Roseburg, OR
National Provider Identifier
1023375359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 548 SE Jackson St
Roseburg, OR 97470-4983 - Phone
- (541) 440-3532
- Fax
- (541) 440-3554
- NPI assigned
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
548 SE Jackson St
Roseburg, OR 97470-4983
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Phone (541) 440-3532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500662401 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241004003126 | OR | Practitioner - Mental Health Counselor | 9830620525 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whalesong Counseling LLC | Current | Accepting new patients | |
| Lincare Inc | Past | Accepting new patients | |
| Roseburg Clinic, P.C. | Past | Accepting new patients |
Locations
1330 SE 9th St
Ste 2
Lincoln City, OR 97367
Phone (541) 614-0294
1330 SE 9th St
Ste 1
Lincoln City, OR 97367
Phone (541) 612-0192
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Roseburg, OR
- NPI 1841396405
-
- Durable Medical Equipment & Medical Supplies
- Waterford, CT
- NPI 1104701606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1023375359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1121",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974700254",
"telephone_number": "541-440-3532",
"fax_number": "541-440-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 SE JACKSON ST",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974704983",
"telephone_number": "541-440-3532",
"fax_number": "541-440-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "STEVEN",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500662401",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.