Active NPI
Shakayla Collins
- Mental Health Counselor
- Mission Viejo, CA
National Provider Identifier
1235949256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 17704
- Practice address
- 21622 Marguerite Pkwy Apt 342
Mission Viejo, CA 92692-4418 - Phone
- (520) 449-7015
- NPI assigned
- Jan 10, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 17704 | CA | Primary |
Addresses
Primary practice location
21622 Marguerite Pkwy Apt 342
Mission Viejo, CA 92692-4418
Mailing address
PO Box 312
Lake Forest, CA 92609-0312
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17704 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1235949256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 312",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926090312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21622 MARGUERITE PKWY APT 342",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926924418",
"telephone_number": "520-449-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "SHAKAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-10",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "17704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
- Sydney Alyssa Cohen
- Kristie Cole, R.N.
- John Raymond Coleman, AU.D.
- Rachel Coleman, M.A., MFT
- Collective Centre of Psychology, Inc.
- Arlene Cory Colon, M.A, CCC-SLP
- Community Orthopedic Medical Group
- Complete Care Family Medicine
- Complete Care Family Medicine and Skin Center
- Complete Care Family Medicine and Skin Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.