Elzora Darlene Collins, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1637-132 Issued in WI

Practice address

2821 N Vel R Phillips Ave Ste 123
Milwaukee, WI 53212-2370

Phone

(414) 264-4217

Fax

(414) 264-4218

NPI assigned

Apr 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fokus Family Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1164673133
  NPD Authorized official

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1396910634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 N VEL R PHILLIPS AVE STE 123",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122370",
            "telephone_number": "414-264-4217",
            "fax_number": "414-264-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N VEL R PHILLIPS AVE STE 123",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122370",
            "telephone_number": "414-264-4217",
            "fax_number": "414-264-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ELZORA",
        "middle_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1637-132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39175500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annika Katherine Collins, A.N.P.
• Cameron William Collins, MD
• Ciera Collins
• Deavon Lynette Collins, LPC-IT
• Deborah Collins, PSY.D.
• Isabel P Collins, MD
• Jamie Anne Collins, MD
• Jennifer Neringa Collins
• Julia Caralee Collins, MD
• Laflorence Merrille Collins, CNA

• Addiction (Substance Use Disorder) Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.