Collin Sidney Killough, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

223 Broad St NW
Cleveland, TN 37311-5037

Phone

(931) 797-7882

NPI assigned

Jun 17, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Marriage and Family Therapist

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1083457162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 25TH ST NE APT 2613",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113983",
            "telephone_number": "931-797-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 BROAD ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115037",
            "telephone_number": "931-797-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLOUGH",
        "first_name": "COLLIN",
        "middle_name": "SIDNEY",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidney Center of Cleveland, LLC
• Kids Dental Center, GP
• Jennifer Aubrey Kilby, FNP-C
• Larry R Killen, M.D.
• Janella Kristen Killingsworth, DNP, FNP-C, RN, CWCN
• Brandi Joann Kilpatrick
• Shila Kimpson, NP
• Desiree Deeanna Kinard, PA
• Justin M King, PA
• Lindsey Marie King, FNP

• Marriage & Family Therapist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Marriage & Family Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.