Individual provider Active NPI

Mary Lee Collins, LPC

  • Professional Counselor
  • Mobile, AL
National Provider Identifier
1215287974
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2848 Issued in AL
Practice address
1340 Sledge Dr
Mobile, AL 36606
Phone
(251) 473-3410
Fax
(251) 476-4454
NPI assigned
Sep 10, 2012
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2848 AL Primary

Addresses

Primary practice location

1340 Sledge Dr
Mobile, AL 36606

Mailing address

1340 Sledge Dr
Mobile, AL 36606
Phone (251) 473-3410

Other practice location 1

22765 US Highway 98
Fairhope, AL 36532-3499
Phone (251) 473-3410

Other names 1

  • Mrs. Mary L Bush Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110003492 AL Practitioner - Mental Health Counselor 3870982309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Univ of Central Florida, College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collins Counseling and Associates, P.C.Group PAC ID 8325437858, 15 clinicians

Practice addresses (Care Compare)

1340 Sledge Dr
Suite B
Mobile, AL 36606-3000
Phone (251) 473-3410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2848ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Counseling & Associates, P.C. Professional CurrentSince Oct 1, 2014 Accepting new patients

Locations

20252 State Highway 181
Ste C
Fairhope, AL 36532
Phone (251) 473-3410

22765 US Highway 98
Fairhope, AL 36532
Phone (251) 473-3410

1340 Sledge Dr
Mobile, AL 36606
Phone (251) 342-0004

1340 Sledge Dr
Ste B
Mobile, AL 36606
Phone (251) 473-3410

Organizations & group practices 1

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": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1215287974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 SLEDGE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36606",
            "telephone_number": "251-473-3410",
            "fax_number": "251-476-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 SLEDGE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36606",
            "telephone_number": "251-473-3410",
            "fax_number": "251-476-4454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22765 US Highway 98",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365323499",
            "country_code": "US",
            "telephone_number": "251-473-3410",
            "fax_number": "251-476-4454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BUSH",
            "middle_name": "L",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.