Individual provider Active NPI

Loismay Rosaria Collier, LMHC

  • Mental Health Counselor
  • Panama City, FL
National Provider Identifier
1285380824
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20350 Issued in FL
Practice address
114 Airport Rd Ste a
Panama City, FL 32405-4738
Phone
(850) 343-5225
NPI assigned
Feb 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 20350 FL Primary

Addresses

Primary practice location

114 Airport Rd Ste a
Panama City, FL 32405-4738

Mailing address

2319 S Highway 77 Unit 436
Lynn Haven, FL 32444-7719
Phone (850) 381-4237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 29, 2024 through May 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20350FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Counseling, LLC Mental Health CurrentSince Jul 24, 2022 Accepting new patients

Locations

2319 S Highway 77
Unit 436
Lynn Haven, FL 32444

114 Airport Rd
Ste A
Panama City, FL 32405
Phone (850) 343-5225

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.

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1285380824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 S HIGHWAY 77 UNIT 436",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324447719",
            "telephone_number": "850-381-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 AIRPORT RD STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054738",
            "telephone_number": "850-343-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "LOISMAY",
        "middle_name": "ROSARIA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "20350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.