Isaiah Collins, LCAS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A12845 Issued in NC

Practice address

2125 Enterprise Rd
Greensboro, NC 27408-1992

Phone

(336) 808-5488

NPI assigned

Mar 22, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gate City Counseling, PLLC

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1780207555
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1053842021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 ENTERPRISE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081992",
            "telephone_number": "336-808-5488",
            "fax_number": "336-500-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 ENTERPRISE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081992",
            "telephone_number": "336-808-5488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5603B New Garden Village Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274108595",
            "country_code": "US",
            "telephone_number": "336-272-8090",
            "fax_number": "336-272-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ISAIAH",
        "name_prefix": "Mr.",
        "credential": "LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12845",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "A12845",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Collier, LAT ATC
• Dana Chinese Collins, D.O.
• Diana B Collins, MD
• Emma Maureen Collins, PA
• Gina Lynn Collins, PA-C
• James Joseph Collins III, CCC-A
• Kathleen Lindner Collins, LPC
• Laverne Hanes Collins, LPC
• Michael Lee Collins, DDS
• Riki Lee Collins, PA-C

• Professional Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.