Individual provider Active NPI

Melissa Sue Collins, LAC, LCSW

  • Clinical Social Worker
  • Hamilton, MT
National Provider Identifier
1043495690
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
983 Issued in MT
Practice address
302 N 1St St Ste 4a
Hamilton, MT 59840-2556
Phone
(406) 531-7164
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1169 MT
Clinical Social Worker 1041C0700X 983 MT Primary

Addresses

Primary practice location

302 N 1St St Ste 4a
Hamilton, MT 59840-2556

Mailing address

302 N 1St St Ste 4a
Hamilton, MT 59840-2556
Phone (406) 531-7164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000038 MT Practitioner - Clinical Social Worker 5092994970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

302 N 1St St
Suite 4a
Hamilton, MT 59840-2556
Phone (406) 531-7164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1169MTMDAddiction (Substance Use Disorder) Counselor
983MTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa S. Collins Addiction (Substance Use Disorder) CurrentSince Nov 1, 2014 Accepting new patients

Locations

302 N 1st St
Ste 4A
Hamilton, MT 59840
Phone (406) 531-7164

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1043495690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N 1ST ST STE 4A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402556",
            "telephone_number": "406-531-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N 1ST ST STE 4A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402556",
            "telephone_number": "406-531-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "credential": "LAC, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1169",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

Verify at the official NPI Registry.