Active NPI
Megan Collins, LMFT
- Marriage & Family Therapist
- Fullerton, CA
National Provider Identifier
1083020671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 69991
- Practice address
- 801 E Chapman Ave
203
Fullerton, CA 92831-3839 - Phone
- (714) 680-8268
- Fax
- (714) 680-8233
- NPI assigned
- Jul 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 69991 | CA | Primary |
Addresses
Primary practice location
801 E Chapman Ave
203
Fullerton, CA 92831-3839
Mailing address
17046 Marygold Ave
Fontana, CA 92335-1722
Phone (909) 427-5420
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.kp.org | Kaiser Foundation Health Plan of the Mid Atlantic States, Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69991 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1083020671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17046 MARYGOLD AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923351722",
"telephone_number": "909-427-5420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E CHAPMAN AVE",
"address_2": "203",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313839",
"telephone_number": "714-680-8268",
"fax_number": "714-680-8233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MEGAN",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "69991",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.kp.org",
"affiliation": "Y",
"affiliationName": "Kaiser Foundation Health Plan of the Mid Atlantic States, Inc",
"address_1": "6104 Old Branch Ave",
"city": "Temple Hills",
"state": "MD",
"country_code": "US",
"postal_code": "207482518",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.