Jenny Sue Collins-King, LCSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

L000000022786 Issued in TN

Practice address

836 W 1St North St Ste 103
Morristown, TN 37814-4548

Phone

(423) 616-0213

Fax

(865) 381-0521

NPI assigned

Feb 15, 2019

Last updated

May 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Butler Community Health

  • Community/Behavioral Health Agency
  • Morristown, TN
  • NPI 1083370829
  Medicare reassignment
• Parents Helping Intercede in the Lives of Adolescents in North Caro

  dba PHILA. Health Systems

  • Community/Behavioral Health Agency
  • Morristown, TN
  • NPI 1982044095
  NPD

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1285190181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 W 1ST NORTH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378144548",
            "telephone_number": "423-616-0213",
            "fax_number": "865-381-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W 1ST NORTH ST STE 103",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378144548",
            "telephone_number": "423-616-0213",
            "fax_number": "865-381-0521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 W 1st North St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378144548",
            "country_code": "US",
            "telephone_number": "423-616-0213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS-KING",
        "first_name": "JENNY",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "L000000022786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "LSW0000004983",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Michelle Coleman, D.C.
• Phillip Norman Coleman, D.C.
• College Park Pharmacy
• College Park Walk-in Clinic
• College Park Walk-in Clinic, LLC
• Amanda R. Collins, SLP
• Annie Collins
• Ashli Taylor Collins, OTR/L
• Samantha Mae Collins
• Commonwealth Pain Associates PLLC (Commonwealth Pain And Spine)

• Community/Behavioral Health Agency in Morristown, TN
• Providers in Morristown, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.