Active NPI
Irvin Hafer Collins, MFT-A
- Mental Health Counselor
- Diamond Springs, CA
National Provider Identifier
1083021844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 126532
- Practice address
- 768 Pleasant Valley Rd
Diamond Springs, CA 95619-9260 - Phone
- (530) 621-6134
- Fax
- (530) 303-1526
- NPI assigned
- Jul 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | 126532 | CA | Primary |
Addresses
Primary practice location
768 Pleasant Valley Rd
Diamond Springs, CA 95619-9260
Mailing address
PO Box 195
Camino, CA 95709-0195
Phone (530) 621-6134
Other practice location 1
1313 Cutting Blvd
Richmond, CA 94804-2554
Phone (510) 232-0874
Other practice location 2
7000B S Center Dr
Clearlake, CA 95422-8131
Phone (707) 994-7090
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 |
|---|---|---|---|
| 126532 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1083021844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 195",
"city": "CAMINO",
"state": "CA",
"postal_code": "957090195",
"telephone_number": "530-621-6134",
"fax_number": "530-303-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "768 PLEASANT VALLEY RD",
"city": "DIAMOND SPRINGS",
"state": "CA",
"postal_code": "956199260",
"telephone_number": "530-621-6134",
"fax_number": "530-303-1526"
}
],
"practiceLocations": [
{
"address_1": "1313 Cutting Blvd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "CA",
"postal_code": "948042554",
"country_code": "US",
"telephone_number": "510-232-0874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7000B S Center Dr",
"address_purpose": "LOCATION",
"city": "Clearlake",
"state": "CA",
"postal_code": "954228131",
"country_code": "US",
"telephone_number": "707-994-7090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "IRVIN",
"middle_name": "HAFER",
"credential": "MFT-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-14",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "126532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Diamond Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.