Individual provider Active NPI

Elisabeth Lippincott Collins, RN, MS, PMHNP - BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1265677983
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024188757 Issued in VA
Practice address
1520 W Main St Ste 102
Richmond, VA 23220-4687
Phone
(804) 369-8201
NPI assigned
Dec 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 0001324002 VA
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 780831 CA
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RXN.0103734-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0994396-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 22301 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024188757 VA Primary

Addresses

Primary practice location

1520 W Main St Ste 102
Richmond, VA 23220-4687

Mailing address

3835 N Freeway Blvd
Suite 100
Sacramento, CA 95834-1928
Phone (916) 576-7900

Other practice location 1

1212 Broadway Ste 1200
Oakland, CA 94612-1814
Phone (510) 834-2049

Other practice location 2

1942 Broadway Ste 405
Boulder, CO 80302-5213
Phone (303) 857-5260

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 Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
780831CAMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
RXN.0103734-NPCOMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
0001324002VAMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
22301CAMDSpeech-Language Pathologist
APN.0994396-NPCOMDPsychiatric/Mental Health Nurse Practitioner
0024188757VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Psychiatry Psychiatric/Mental Health CurrentSince Aug 10, 2025 Accepting new patients
Mark David Levine M.D. Professional Corporation Psychiatric/Mental Health Past Accepting new patients

Locations

1520 W Main St
Ste 102
Richmond, VA 23220
Phone (804) 369-8201

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1265677983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341928",
            "telephone_number": "916-576-7900",
            "fax_number": "916-285-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W MAIN ST STE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204687",
            "telephone_number": "804-369-8201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Broadway Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946121814",
            "country_code": "US",
            "telephone_number": "510-834-2049",
            "fax_number": "510-834-2045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1942 Broadway Ste 405",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803025213",
            "country_code": "US",
            "telephone_number": "303-857-5260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ELISABETH",
        "middle_name": "LIPPINCOTT",
        "name_prefix": "Miss",
        "credential": "RN, MS, PMHNP - BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "VA",
            "license": "0001324002",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CA",
            "license": "780831",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CO",
            "license": "RXN.0103734-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0994396-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "22301",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024188757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.