Active NPI
Michael Allan-Joseph Colin, LPC, LMAC, CTP, NCC
- Mental Health Counselor
- Overland Park, KS
National Provider Identifier
1104506716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3543
- Practice address
- 8575 W 110TH St # 208
Overland Park, KS 66210-1868 - Phone
- (913) 286-7640
- NPI assigned
- Jul 19, 2023
- Last updated
- Jul 19, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3543 | KS | Primary |
Addresses
Primary practice location
8575 W 110TH St # 208
Overland Park, KS 66210-1868
Mailing address
1211 Olive St
Leavenworth, KS 66048-2361
Phone (231) 838-0582
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 |
|---|---|---|---|
| 3543 | KS | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1104506716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 OLIVE ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660482361",
"telephone_number": "231-838-0582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8575 W 110TH ST # 208",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101868",
"telephone_number": "913-286-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLIN",
"first_name": "MICHAEL",
"middle_name": "ALLAN-JOSEPH",
"credential": "LPC, LMAC, CTP, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "3543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
- Crystal Coleman, RBT
- Lisa Lee Coleman, LSCSW
- Sheena Jo Coleman, NP
- Whitney T Coleman, O.D.
- Colin N Mackenzie MD LC
- College Park Ancillary, LLC (College Park Physical Therapy)
- College Park Ancillary, LLC
- College Park Endoscopy Center LLC (College Park Surgery Center)
- College Park Family Care Center PA
- College Park Family Care Center, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.