Active NPI
Constance Collins, SLP
- Speech-Language Pathologist
- Toledo, OH
National Provider Identifier
1083824049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP4412
- Practice address
- 3949 Sunforest CT
Suite 101
Toledo, OH 43623-4473 - Phone
- (419) 474-3399
- Fax
- (419) 474-5165
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP4412 | OH | Primary |
Addresses
Primary practice location
3949 Sunforest CT
Suite 101
Toledo, OH 43623-4473
Mailing address
7223 Maumee Western Rd
Maumee, OH 43537-9755
Phone (419) 865-0251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2208864 | Medicaid | OH |
Other names 1
- Connie Collins
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP4412 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MWG, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Toledo, OH
- NPI 1861593279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509494400000",
"number": "1083824049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7223 MAUMEE WESTERN RD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435379755",
"telephone_number": "419-865-0251",
"fax_number": "419-724-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3949 SUNFOREST CT",
"address_2": "SUITE 101",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234473",
"telephone_number": "419-474-3399",
"fax_number": "419-474-5165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "CONSTANCE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2017-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP4412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2208864",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CONNIE",
"last_name": "COLLINS",
"credential": "SLP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.