Active NPI
Tricia Collins, LPC, LSW
- Mental Health Counselor
- Middletown, OH
National Provider Identifier
1316484256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.1400250
- Practice address
- 4464 S Dixie Hwy
Middletown, OH 45005-5464 - Phone
- (513) 649-8008
- Fax
- (513) 649-8004
- NPI assigned
- Jan 31, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.1400250 | OH | Primary |
| Social Worker | 104100000X | S.1000204 | OH |
Addresses
Primary practice location
4464 S Dixie Hwy
Middletown, OH 45005-5464
Mailing address
4464 S Dixie Hwy
Middletown, OH 45005-5464
Phone (513) 649-8008
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074861 | Other | OH | MEDICAID-ODADAS |
| 0074946 | Other | OH | MEDICAID-ODMH |
| 01-0693 | Other | OH | CARF CERTIFICATION |
| H130910 | Other | OH | MEDICARE GROUP PTAN |
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 |
|---|---|---|---|
| C.1400250 | OH | MD | Mental Health Counselor |
| S.1000204 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Counseling Services LLC | Mental Health | Past | Accepting new patients |
| Access Counseling Services, LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Middletown, OH
- NPI 1073884524
Mental Health
-
- Community/Behavioral Health Agency
- Middletown, OH
- NPI 1245583673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1316484256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4464 S DIXIE HWY",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450055464",
"telephone_number": "513-649-8008",
"fax_number": "513-649-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4464 S DIXIE HWY",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450055464",
"telephone_number": "513-649-8008",
"fax_number": "513-649-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "TRICIA",
"credential": "LPC, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-31",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1400250",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1000204",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID-ODADAS",
"identifier": "0074861",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID-ODMH",
"identifier": "0074946",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARF CERTIFICATION",
"identifier": "01-0693",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "H130910",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.