Active NPI
Mary Heather Collins, MS, NCC, LGPC
- Mental Health Counselor
- Hagerstown, MD
National Provider Identifier
1326795352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP11823
- Practice address
- 9733 Pembroke Dr
Hagerstown, MD 21740-1568 - Phone
- (301) 491-4930
- NPI assigned
- Mar 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11823 | MD | |
| Counseling Psychologist | 103TC1900X | LGPC11863 | MD | |
| Mental Health Counselor | 101YM0800X | LGP11823 | MD | Primary |
Addresses
Primary practice location
9733 Pembroke Dr
Hagerstown, MD 21740-1568
Mailing address
9733 Pembroke Dr
Hagerstown, MD 21740-1568
Phone (301) 491-4930
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP11823 | MD | MD | Mental Health Counselor |
| LGPC11863 | MD | MD | Counseling Psychologist |
| 11823 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1326795352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9733 PEMBROKE DR",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217401568",
"telephone_number": "301-491-4930",
"fax_number": "301-791-1866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9733 PEMBROKE DR",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217401568",
"telephone_number": "301-491-4930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MARY",
"middle_name": "HEATHER",
"credential": "MS, NCC, LGPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-09",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "11823",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MD",
"license": "LGPC11863",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP11823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.