Active NPI
Lisa Collins
- Addiction (Substance Use Disorder) Counselor
- Cleveland, OH
National Provider Identifier
1336524388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 141224
- Practice address
- 3135 Euclid Ave
Cleveland, OH 44115-2531 - Phone
- (216) 391-2030
- Fax
- (216) 431-7189
- NPI assigned
- Jul 20, 2015
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 141224 | OH | Primary |
| Clinical Social Worker | 1041C0700X | S21233 | OH |
Addresses
Primary practice location
3135 Euclid Ave
Cleveland, OH 44115-2531
Mailing address
3135 Euclid Ave
Cleveland, OH 44115-2531
Phone (216) 391-2030
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S21233 | OH | MD | Clinical Social Worker |
| 141224 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1336524388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3135 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152531",
"telephone_number": "216-391-2030",
"fax_number": "216-431-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3135 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152531",
"telephone_number": "216-391-2030",
"fax_number": "216-431-7189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "141224",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S21233",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.