Active NPI
Amy Lynn Collins, MS, LPC, LSSP
- Professional Counselor
- Longview, TX
National Provider Identifier
1336462373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64034
- Practice address
- 107 Community Blvd
Suite 13
Longview, TX 75605-6186 - Phone
- (903) 238-9050
- Fax
- (903) 238-9051
- NPI assigned
- Mar 4, 2010
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 64034 | TX | Primary |
| School Counselor | 101YS0200X | 31789 | TX |
Addresses
Primary practice location
107 Community Blvd
Suite 13
Longview, TX 75605-6186
Mailing address
107 Community Blvd
Suite 13
Longview, TX 75605-6186
Phone (903) 238-9050
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 |
|---|---|---|---|
| 64034 | TX | MD | Professional Counselor |
| 31789 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winsted Psychological Services, PLLC | 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.
-
- Psychologist
- Longview, TX
- NPI 1811197080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1336462373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 COMMUNITY BLVD",
"address_2": "SUITE 13",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756056186",
"telephone_number": "903-238-9050",
"fax_number": "903-238-9051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 COMMUNITY BLVD",
"address_2": "SUITE 13",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756056186",
"telephone_number": "903-238-9050",
"fax_number": "903-238-9051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "AMY",
"middle_name": "LYNN",
"credential": "MS, LPC, LSSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-04",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "64034",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "TX",
"license": "31789",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.