Jayme Collins, LCP, LMLP
Individual provider Active NPI Psychologist · Emporia, KS
NPI 1104033471 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104033471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 150 (KS)
- Practice address
- 1000 Lincoln St
Emporia, KS 66801-2449 - Phone
- (620) 343-2211
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 150 | KS | Yes |
Addresses
Primary practice location
1000 Lincoln St
Emporia, KS 66801-2449
Mailing address
1000 Lincoln St
Emporia, KS 66801-2449
Phone (620) 343-2211
Other providers in Emporia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.