Active NPI
Jana T Miner-Collins, LMFT
- Marriage & Family Therapist
- Palmer, AK
National Provider Identifier
1184771750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 77
- 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, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126559000 | Other | AETNA | |
| 45-5503677 | Other | COMMERCIAL INSURANCE | |
| 238973 | Other | COMPSYCH | |
| 421545189 | Other | AK | BLUE CROSS |
| 126559000 | Other | MAGELLAN | |
| 2373507 | Other | CIGNA | |
| MH9931 | Medicaid | AK | |
| 42154518999645A008 | Other | AK | TRIWEST |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Borealis Behavioral Health | Marriage & Family Therapist | Past | 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.
-
- Marriage & Family Therapist
- Palmer, AK
- NPI 1508121096
-
dba Holladay & Associates
- Psychiatry Physician
- Palmer, AK
- NPI 1538284138
Marriage & Family Therapist
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.