Mark Thomas Collins, MA, LPCC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2762 Issued in MN

Practice address

3675 Ihduhapi Rd
Loretto, MN 55357-2120

Phone

(763) 479-3555

Fax

(763) 479-2605

NPI assigned

Mar 8, 2021

Last updated

Mar 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hoy & Associates Inc.

  dba David Hoy & Associates Ltd

  • Community/Behavioral Health Agency
  • Golden Valley, MN
  • NPI 1831239003
  Medicare reassignment NPD
• Vinland National Center

  • Substance Abuse Rehabilitation Facility
  • Loretto, MN
  • NPI 1144329632
  NPD
• Karol, PC

  dba Karol Neuropsychological Services & Consulting

  • Clinical Neuropsychologist
  • Eden Prairie, MN
  • NPI 1053383679
  NPD (past)

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1437744869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "LORETTO",
            "state": "MN",
            "postal_code": "553570308",
            "telephone_number": "763-479-3555",
            "fax_number": "763-479-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 IHDUHAPI RD",
            "city": "LORETTO",
            "state": "MN",
            "postal_code": "553572120",
            "telephone_number": "763-479-3555",
            "fax_number": "763-479-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "credential": "MA, LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Storm Becker-Finn, MA, LPCC
• Rowan P Buckley, PSYD
• Megan Grunerud, OTR/L
• Angie Hyde, LPCC
• Brian William Kolling, PHARMD
• Ricki Gene Krueger, MA, LPC, LADC
• Peggy Martin, LPCC

• Mental Health Counselor in Loretto, MN
• Providers in Loretto, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.