Jessica Marie Collins, M.ED., LPCC
Individual provider Active NPI Counselor · Rush, KY
NPI 1205200136 · NPPES record last updated Apr 6, 2021
Key facts
- NPI
- 1205200136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 173244 (KY)
- Practice address
- 2901 Pigeon Roost Rd
Rush, KY 41168-8132 - Phone
- (606) 928-6648
- NPI assigned
- Nov 16, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173244 | KY | MD | Addiction (Substance Use Disorder) Counselor |
Interoperability endpoints
- bbh.jessicacollins@140103.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 173244 | KY | |
| Counselor | 101Y00000X | 173244 | KY | Yes |
Addresses
Primary practice location
2901 Pigeon Roost Rd
Rush, KY 41168-8132
Mailing address
1351 Newtown Pike BLDG 1
Lexington, KY 40511-1277
Phone (859) 253-1686
Other providers in Rush, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.