Individual provider Active NPI

Nikelle Collins, LCSW

  • Clinical Social Worker
  • Sandpoint, ID
National Provider Identifier
1275295305
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8861752 Issued in ID
Practice address
1315 Highway 2 Ste 4
Sandpoint, ID 83864-2724
Phone
(208) 261-2740
Fax
(208) 625-2062
NPI assigned
Oct 6, 2021
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8861752 ID Primary

Addresses

Primary practice location

1315 Highway 2 Ste 4
Sandpoint, ID 83864-2724

Mailing address

PO Box 403
Priest River, ID 83856-0403
Phone (208) 290-2840

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

LicenseStateTypeSpecialty
8861752IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Connection Behavioral Health LLC Clinical CurrentSince Jul 9, 2025 Accepting new patients
North Idaho Children's Mental Health, PLLC. Clinical PastSince Oct 1, 2021 Accepting new patients

Locations

1315 Highway 2
Ste 4
Sandpoint, ID 83864
Phone (208) 261-1118

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, 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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1275295305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403",
            "city": "PRIEST RIVER",
            "state": "ID",
            "postal_code": "838560403",
            "telephone_number": "208-290-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 HIGHWAY 2 STE 4",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642724",
            "telephone_number": "208-261-2740",
            "fax_number": "208-625-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "NIKELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8861752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.