Active NPI
Phyllis Gail Collins, MS, LPC, LMFT
- Professional Counselor
- Stafford, TX
National Provider Identifier
1508030115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61025
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 61025 | TX | MD | Professional Counselor |
| 200936 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Mental Health Counselor
- Sugar Land, TX
- NPI 1831468289
Marriage & Family Therapist
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
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.