Active NPI
Iesha Collins, MA, LLP
- Counseling Psychologist
- Nunica, MI
National Provider Identifier
1235610197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301013775
- Practice address
- 17160 130TH Ave
Nunica, MI 49448-9450 - Phone
- (616) 847-4460
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361005570 | MI | |
| Counseling Psychologist | 103TC1900X | 6301013775 | MI | Primary |
Addresses
Primary practice location
17160 130TH Ave
Nunica, MI 49448-9450
Mailing address
320 Monroe Ave
Muskegon, MI 49441-2052
Phone (231) 557-1833
Other practice location 1
1321 E Colby St Ste 2
Whitehall, MI 49461-1209
Phone (231) 557-1833
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361005570 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1235610197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 MONROE AVE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412052",
"telephone_number": "231-557-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17160 130TH AVE",
"city": "NUNICA",
"state": "MI",
"postal_code": "494489450",
"telephone_number": "616-847-4460"
}
],
"practiceLocations": [
{
"address_1": "1321 E Colby St Ste 2",
"address_purpose": "LOCATION",
"city": "Whitehall",
"state": "MI",
"postal_code": "494611209",
"country_code": "US",
"telephone_number": "231-557-1833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "IESHA",
"credential": "MA, LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361005570",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301013775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nunica, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.