Active NPI
Elizabeth Collins
- Addiction (Substance Use Disorder) Counselor
- Los Osos, CA
National Provider Identifier
1376973917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 45-3114340
- Practice address
- 1320 Van Beurden Dr
Suite 103
Los Osos, CA 93402-3380 - Phone
- (805) 528-8178
- NPI assigned
- Nov 18, 2013
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 45-3114340 | CA | Primary |
Addresses
Primary practice location
1320 Van Beurden Dr
Suite 103
Los Osos, CA 93402-3380
Mailing address
532 May St
Arroyo Grande, CA 93420-2832
Phone (805) 489-0401
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 |
|---|---|---|---|
| 45-3114340 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1376973917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 MAY ST",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934202832",
"telephone_number": "805-489-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 VAN BEURDEN DR",
"address_2": "SUITE 103",
"city": "LOS OSOS",
"state": "CA",
"postal_code": "934023380",
"telephone_number": "805-528-8178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-18",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "45-3114340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Osos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.