Individual provider Active NPI

Craig Collins, LPC

  • Professional Counselor
  • Trenton, MO
National Provider Identifier
1467016501
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2018033193 Issued in MT
Practice address
1601 E 28TH St
Trenton, MO 64683-1178
Phone
(660) 359-4487
NPI assigned
Apr 24, 2019
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2018033193 MT Primary

Addresses

Primary practice location

1601 E 28TH St
Trenton, MO 64683-1178

Mailing address

PO Box 30
Trenton, MO 64683-0030
Phone (660) 359-4487

Other practice location 1

7 Westowne St Ste 403
Liberty, MO 64068-1166
Phone (816) 407-1754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20240216003056 MO Practitioner - Mental Health Counselor 9638513773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1601 E 28TH St
Trenton, MO 64683-1178
Phone (660) 359-4487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018033193MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Missouri Mental Health Center CurrentSince Jan 1, 2024 Accepting new patients
North Central Missouri Mental Health Center CurrentSince Jan 1, 2024 Accepting new patients
Preferred Family Healthcare, Inc Past Accepting new patients

Locations

1102 W Helm St
Brookfield, MO 64628
Phone (660) 359-4487

401 Youssef Dr
Chillicothe, MO 64601
Phone (660) 359-4487

1601 E 28th St
Trenton, MO 64683
Phone (660) 359-4487

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1467016501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646830030",
            "telephone_number": "660-359-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 28TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646831178",
            "telephone_number": "660-359-4487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Westowne St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "MO",
            "postal_code": "640681166",
            "country_code": "US",
            "telephone_number": "816-407-1754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CRAIG",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "2018033193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MO

Sources for this page

Verify at the official NPI Registry.