NPIMap

Organization Active NPI

Collins Counseling & Associates, P.C.

  • Professional Counselor
  • Mobile, AL
National Provider Identifier
1043689284
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COLLINS COUNSELING & ASSOCIATES, P.C.
Practice address
1340 Sledge Dr
Mobile, AL 36606
Phone
(251) 473-3410
Fax
(251) 476-4454
NPI assigned
Sep 17, 2015
Last updated
Nov 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Ms. Mary L Collins, LPCNPI 1215287974
Title
Owner, Counselor
Phone
(251) 725-3373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X

Addresses

Primary practice location

1340 Sledge Dr
Mobile, AL 36606

Mailing address

1340 Sledge Dr
Mobile, AL 36606-3021
Phone (251) 473-3410

Other practice location 1

22765 US Highway 98
Fairhope, AL 36532-3499
Phone (251) 473-3410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211122002574 AL Part B Supplier - Clinic/Group Practice 8325437858 Receives reassigned benefits from 20 practitioners
Practice locations: Fairhope, AL; Mobile, AL

National Provider Directory

National Provider Directory

Locations

20252 State Highway 181
Ste C
Fairhope, AL 36532
Phone (251) 473-3410

22765 US Highway 98
Fairhope, AL 36532
Phone (251) 473-3410

1340 Sledge Dr
Mobile, AL 36606
Phone (251) 342-0004

1340 Sledge Dr
Ste B
Mobile, AL 36606
Phone (251) 473-3410

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1043689284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 SLEDGE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063021",
            "telephone_number": "251-473-3410",
            "fax_number": "251-476-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 SLEDGE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36606",
            "telephone_number": "251-473-3410",
            "fax_number": "251-476-4454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22765 US Highway 98",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365323499",
            "country_code": "US",
            "telephone_number": "251-473-3410",
            "fax_number": "251-476-4454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLLINS COUNSELING & ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, COUNSELOR",
        "authorized_official_telephone_number": "251-725-3373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.