Ann Marie Collingham, MSED
Individual provider Active NPI Professional Counselor · York, NE
NPI 1124897335 · NPPES record last updated Jun 3, 2026
Key facts
- NPI
- 1124897335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3071 (NE)
- Practice address
- 1100 N Lincoln Ave Ste 2D
York, NE 68467-1743 - Phone
- (402) 292-6006
- NPI assigned
- Dec 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1100 N Lincoln Ave
Suite D2
York, NE 68467-1743
Phone (402) 256-5867
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250709000438 | NE | Practitioner - Mental Health Counselor | 1951815299 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4118 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Spring Health LLC | Counselor | Current |
Accepting new patients |
| Eon Care Clinicians PC | Past |
Accepting new patients | |
| Bellevue Primary Healthcare PC | Past |
Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11675/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4118 | NE | |
| Professional Counselor | 101YP2500X | 3071 | NE | Yes |
Addresses
Primary practice location
1100 N Lincoln Ave Ste 2D
York, NE 68467-1743
Mailing address
4521 A Street Rd
Beaver Crossing, NE 68313-9444
Phone (402) 306-8764
Other practice location 1
4521 A Street Rd
Beaver Crossing, NE 68313-9444
Phone (402) 306-8764
Other practice location 2
1901 S Lincoln Ave
York, NE 68467-9406
Phone (402) 256-5867
NPI Registry JSON
{
"created_epoch": "1703721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1124897335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4521 A STREET RD",
"city": "BEAVER CROSSING",
"state": "NE",
"postal_code": "683139444",
"telephone_number": "402-306-8764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N LINCOLN AVE STE 2D",
"city": "YORK",
"state": "NE",
"postal_code": "684671743",
"telephone_number": "402-292-6006"
}
],
"practiceLocations": [
{
"address_1": "4521 A Street Rd",
"address_purpose": "LOCATION",
"city": "Beaver Crossing",
"state": "NE",
"postal_code": "683139444",
"country_code": "US",
"telephone_number": "402-306-8764",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 S Lincoln Ave",
"address_purpose": "LOCATION",
"city": "York",
"state": "NE",
"postal_code": "684679406",
"country_code": "US",
"telephone_number": "402-256-5867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINGHAM",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "MSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-28",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "4118",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "3071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, NE
- Ronda K. Clark
- David Cockson
- Alicia Jean Coffey
- Luann Marie Coffey
- Laura Ann Cole
- Beverly Collingham
- Shaylee Collingham
- Heidi J Combs
- Katie Ruth Comer
- Countryside Pediatric Dentistry
All providers in York, NE · Professional Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.