Connie S Collins, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2001015387 Issued in MO

Practice address

1320 Highland Dr
Rolla, MO 65401-3609

Phone

(573) 201-6125

NPI assigned

Dec 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Connie S Byington Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1538145065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 HIGHLAND DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013609",
            "telephone_number": "573-201-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 HIGHLAND DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013609",
            "telephone_number": "573-201-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CONNIE",
        "middle_name": "S",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001015387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cscollins1@cougars.ccis.edu",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1320 Highland Dr",
            "city": "Rolla",
            "state": "MO",
            "country_code": "US",
            "postal_code": "654013609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "BYINGTON",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aaron Cohlmia, CNP
• James H Colench, CRNA
• Jeffrey Colench, CRNA
• Tiffany Lynn Colletta, MSW, LCSW
• Jennifer Lee Collier, PLPC
• Kimberly Collins, CPM
• Compass Health, Inc
• Compass Health, Inc
• Compass Health, Inc.
• Amber Cook, NP-C

• Professional Counselor in Rolla, MO
• Providers in Rolla, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.