Individual provider Active NPI

Jana T Miner-Collins, LMFT

  • Marriage & Family Therapist
  • Palmer, AK
National Provider Identifier
1184771750
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
77 Issued in AK
Practice address
634 S Bailey St
Suite 207
Palmer, AK 99645-6330
Phone
(907) 745-7080
Fax
(907) 745-6263
NPI assigned
Jan 4, 2007
Last updated
Sep 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 77 AK Primary

Addresses

Primary practice location

634 S Bailey St
Suite 207
Palmer, AK 99645-6330

Mailing address

634 S Bailey St
Suite 207
Palmer, AK 99645-6330
Phone (907) 745-7080

Other identifiers 8

IdentifierTypeStateIssuer
126559000OtherAETNA
45-5503677OtherCOMMERCIAL INSURANCE
238973OtherCOMPSYCH
421545189OtherAKBLUE CROSS
126559000OtherMAGELLAN
2373507OtherCIGNA
MH9931MedicaidAK
42154518999645A008OtherAKTRIWEST

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

Practice roles

OrganizationSpecialtyStatusNew patients
Borealis Behavioral Health Marriage & Family Therapist PastSince Mar 23, 2013 Accepting new patients
Holladay & Associates, LLC Marriage & Family Therapist Past Accepting new patients

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1184771750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 S BAILEY ST",
            "address_2": "SUITE 207",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456330",
            "telephone_number": "907-745-7080",
            "fax_number": "907-745-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 S BAILEY ST",
            "address_2": "SUITE 207",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456330",
            "telephone_number": "907-745-7080",
            "fax_number": "907-745-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER-COLLINS",
        "first_name": "JANA",
        "middle_name": "T",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AK",
            "license": "77",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "126559000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "45-5503677",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "238973",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "421545189",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "126559000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2373507",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH9931",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "42154518999645A008",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.