Traci P Collins, LCMHC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

A8880 Issued in NC

Practice address

2125 Enterprise Rd
Greensboro, NC 27408-1992

Phone

(336) 808-5488

Fax

(336) 272-0094

NPI assigned

Jan 9, 2012

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Gate City Counseling, PLLC

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1780207555
  NPD Authorized official
• Trauma and Addictions Center, PLLC

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1568758324
  NPD (past)
• Triad Counseling & Clinical Service LLC

  dba Triad Counseling & Clinical Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greensboro, NC
  • NPI 1619988938
  NPD (past)

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1528338498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SPRINGTIME DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 ENTERPRISE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081992",
            "telephone_number": "336-808-5488",
            "fax_number": "336-272-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TRACI",
        "middle_name": "P",
        "credential": "LCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A8880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lee Collins, DDS
• Riki Lee Collins, PA-C
• Robert Andrew Collins, MD
• Samantha Gwyn Collins, PA-C
• Stephen Daniel Collins
• Kimberrly Naschaly Colon, LCMHCA
• Colors of You Counseling and Consulting PLLC
• Cassandra Kornegay Colson, LPC, ATR-BC, CSW
• Donna Medley Colson, COTA
• Kabrya Elizabeth Colson

• Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.