Individual provider Active NPI

Jarred Cyreus Collins, LPC

  • Professional Counselor
  • Monroe, LA
National Provider Identifier
1497115430
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5496 Issued in LA
Practice address
215 Bres Ave
Monroe, LA 71201-5860
Phone
(318) 509-8073
NPI assigned
Mar 3, 2016
Last updated
Mar 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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 5496 LA Primary

Addresses

Primary practice location

215 Bres Ave
Monroe, LA 71201-5860

Mailing address

604 Division St
#2
West Monroe, LA 71291-4673
Phone (337) 967-1083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250115000716 LA Practitioner - Mental Health Counselor 8921536236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9418 Brookline Ave
Suite a
Baton Rouge, LA 70809-1428
Phone (225) 372-2693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5496LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
R.T. Royal Group LLC Professional CurrentSince Nov 10, 2024 Accepting new patients

Locations

9418 Brookline Ave
#A
Baton Rouge, LA 70809
Phone (225) 372-2693

Organizations & group practices 1

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": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1497115430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 DIVISION ST",
            "address_2": "#2",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914673",
            "telephone_number": "337-967-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BRES AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015860",
            "telephone_number": "318-509-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JARRED",
        "middle_name": "CYREUS",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.