Active NPI
Patricia Collins, MA LP
- Counseling Psychologist
- Maple Grove, MN
National Provider Identifier
1255418141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP 1209
- Practice address
- 7372 Kirkwood CT
Innovative Psychological Consultants
Maple Grove, MN 55369-5202 - Phone
- (763) 416-4167
- Fax
- (763) 416-4137
- NPI assigned
- Oct 31, 2006
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP 1209 | MN | Primary |
Addresses
Primary practice location
7372 Kirkwood CT
Innovative Psychological Consultants
Maple Grove, MN 55369-5202
Mailing address
7372 Kirkwood CT
Innovative Psychological Consultants
Maple Grove, MN 55369-5202
Phone (763) 416-4167
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 1209 | MN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Psychological Consultants, LLC | Counseling | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Psychologist
- Maple Grove, MN
- NPI 1942221080
Counseling
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255418141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7372 KIRKWOOD CT",
"address_2": "INNOVATIVE PSYCHOLOGICAL CONSULTANTS",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695202",
"telephone_number": "763-416-4167",
"fax_number": "763-416-4137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7372 KIRKWOOD CT",
"address_2": "INNOVATIVE PSYCHOLOGICAL CONSULTANTS",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695202",
"telephone_number": "763-416-4167",
"fax_number": "763-416-4137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "PATRICIA",
"credential": "MA LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP 1209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.