Individual provider Active NPI

Rachael Collins, CMHC

  • Mental Health Counselor
  • Draper, UT
National Provider Identifier
1104365204
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8427512-6004 Issued in UT
Practice address
11762 S State St
Draper, UT 84020-7155
Phone
(800) 704-0669
NPI assigned
Feb 22, 2017
Last updated
Feb 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8427512-6004 UT Primary

Addresses

Primary practice location

11762 S State St
Draper, UT 84020-7155

Mailing address

11762 S State St
Draper, UT 84020-7155
Phone (800) 704-0669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250425000848 UT Practitioner - Mental Health Counselor 2769906775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

75 E Fort Union Blvd
Suite 101
Midvale, UT 84047-1531
Phone (801) 645-5790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8427512-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Headspace Counseling Mental Health CurrentSince Jul 30, 2025 Accepting new patients
Mind and Matter Therapy CurrentSince Mar 5, 2025 Accepting new patients

Locations

75 E Fort Union Blvd
#101
Midvale, UT 84047
Phone (801) 214-8755

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1104365204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207155",
            "telephone_number": "800-704-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207155",
            "telephone_number": "800-704-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "RACHAEL",
        "name_prefix": "Ms.",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "8427512-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.