Theodore B Collins, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1149 S 450 W Ste 208
Brigham City, UT 84302-6710

Phone

(801) 392-0942

Fax

(801) 392-0943

NPI assigned

Dec 2, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1497465165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 ADAMS AVE PKWY STE 6",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056955",
            "telephone_number": "435-764-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 S 450 W STE 208",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843026710",
            "telephone_number": "801-392-0942",
            "fax_number": "801-392-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "THEODORE",
        "middle_name": "B",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Roger Lynn Colvin, P.T.
• Community Birth Group
• Community Health Centers, Inc.
• Christine Verenise Conrado, LCSW
• Nicole Conway, COUNSELOR

• Mental Health Counselor in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.