Individual provider Active NPI

Christina Collins, LPC

  • Counselor
  • Kalamazoo, MI
National Provider Identifier
1154988509
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401019166 Issued in MI
Practice address
229 E Michigan Ave Ste 345
Kalamazoo, MI 49007-6403
Phone
(269) 254-6613
Fax
(269) 443-2166
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401016673 MI
Counselor 101Y00000X 6401019166 MI Primary

Addresses

Primary practice location

229 E Michigan Ave Ste 345
Kalamazoo, MI 49007-6403

Mailing address

520 W Saint Joseph St
Lawrence, MI 49064-9315
Phone (231) 357-0389

Other practice location 1

5955 W Main St
Kalamazoo, MI 49009-8700
Phone (269) 251-3272

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

LicenseStateTypeSpecialty
6401019166MIMDCounselor
6401016673MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Larkspur Mental Wellness PLLC Counselor Current Accepting new patients
Clinical Psychology Services, PLLC PastSince May 1, 2019 Accepting new patients
Center for Change & Growth PLC Past Accepting new patients
Kelsea a Howell PLLC Counselor PastSince Mar 28, 2021 Accepting new patients

Locations

5955 W Main St
Kalamazoo, MI 49009
Phone (269) 203-5933

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1154988509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W SAINT JOSEPH ST",
            "city": "LAWRENCE",
            "state": "MI",
            "postal_code": "490649315",
            "telephone_number": "231-357-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E MICHIGAN AVE STE 345",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490076403",
            "telephone_number": "269-254-6613",
            "fax_number": "269-443-2166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5955 W Main St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490098700",
            "country_code": "US",
            "telephone_number": "269-251-3272",
            "fax_number": "269-210-2697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CHRISTINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016673",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401019166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.