Individual provider Active NPI

Kasondra Joy Collins, LICSW

  • Clinical Social Worker
  • McKinney, TX
National Provider Identifier
1396445995
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27766 Issued in MN
Practice address
212 E Virginia St Ste 5
McKinney, TX 75069-4328
Phone
(469) 215-1961
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27766 MN Primary

Addresses

Primary practice location

212 E Virginia St Ste 5
McKinney, TX 75069-4328

Mailing address

212 E Virginia St Ste 5
McKinney, TX 75069-4328
Phone (469) 215-1961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240601000275 MN Practitioner - Clinical Social Worker 2163964461 Reassigns benefits to 1 organization
I20251002000991 TX Practitioner - Clinical Social Worker 2163964461 Practice locations: McKinney, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 E Virginia St
Suite 4
McKinney, TX 75069-4328
Phone (469) 333-6163

PO Box
Suite 1278
Lincolnton, NC 28093

PO Box
Suite 94
Vale, NC 28168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27766MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Innovations, Inc. Clinical CurrentSince Apr 20, 2024 Accepting new patients
Kasondra Collins CurrentSince May 30, 2025 Accepting new patients
West Central Counseling LLC Clinical CurrentSince Apr 20, 2024 Accepting new patients
Greater Minnesota Family Services PastSince Mar 1, 2023 Accepting new patients

Locations

810 Henry Ave
Alexandria, MN 56308
Phone (320) 759-3096

121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096

212 E Virginia St
Ste 4
McKinney, TX 75069
Phone (469) 215-1961

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1396445995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E VIRGINIA ST STE 5",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750694328",
            "telephone_number": "469-215-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E VIRGINIA ST STE 5",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750694328",
            "telephone_number": "469-215-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KASONDRA",
        "middle_name": "JOY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.