Individual provider Active NPI

Phyllis Gail Collins, MS, LPC, LMFT

  • Professional Counselor
  • Stafford, TX
National Provider Identifier
1508030115
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
61025 Issued in TX
Practice address
4800 Sugar Grove Blvd
Suite 350
Stafford, TX 77477-2635
Phone
(713) 817-7035
Fax
(281) 491-3565
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 61025 TX Primary
Marriage & Family Therapist 106H00000X 200936 TX

Addresses

Primary practice location

4800 Sugar Grove Blvd
Suite 350
Stafford, TX 77477-2635

Mailing address

PO Box 34
Sugar Land, TX 77487-0034
Phone (713) 817-7035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
61025TXMDProfessional Counselor
200936TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Gail Collins,Ms,LPC,LMFT,PLLC Marriage & Family Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: phylliscollins@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1508030115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774870034",
            "telephone_number": "713-817-7035",
            "fax_number": "281-491-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SUGAR GROVE BLVD",
            "address_2": "SUITE 350",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772635",
            "telephone_number": "713-817-7035",
            "fax_number": "281-491-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "PHYLLIS",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61025",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "200936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.