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

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.

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 IDStateProvider typePAC IDDetails
I20250709000438 NE Practitioner - Mental Health Counselor 1951815299 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4118NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Spring Health LLC Counselor Current
since Jun 1, 2025
Accepting new patients
Eon Care Clinicians PC Past
since Jan 4, 2026
Accepting new patients
Bellevue Primary Healthcare PC Past
since Dec 1, 2023
Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11675/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 3, 2026.

{
    "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

All providers in York, NE · Professional Counselor in Nebraska

Sources for this page

Verify at the official NPI Registry.