Active NPI
Shania Collins, LPC
- Professional Counselor
- Tempe, AZ
National Provider Identifier
1306501150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 23388
- Practice address
- 4657 S Lakeshore Dr Ste 1
Tempe, AZ 85282-7170 - Phone
- (480) 718-1261
- NPI assigned
- Nov 6, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 23388 | AZ | Primary |
Addresses
Primary practice location
4657 S Lakeshore Dr Ste 1
Tempe, AZ 85282-7170
Mailing address
6913 W Carter Rd
Laveen, AZ 85339-7054
Phone (708) 663-8495
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23388 | AZ | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Behavioral Health | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tempe, AZ
- NPI 1790309896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1306501150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6913 W CARTER RD",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853397054",
"telephone_number": "708-663-8495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4657 S LAKESHORE DR STE 1",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827170",
"telephone_number": "480-718-1261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "SHANIA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-06",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "23388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.