NPIMap

Organization Active NPI

Jessi Collins Therapy LLC

  • Community/Behavioral Health Agency
  • Arnold, MD
National Provider Identifier
1548745573
Registry record updated Sep 25, 2018
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Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JESSI COLLINS THERAPY LLC
Practice address
1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815
Phone
(410) 541-6354
NPI assigned
Sep 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Mrs. Jessica Ami Collins, LCSW-C
Title
Owner/Therapist
Phone
(410) 541-6354

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815

Mailing address

1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815
Phone (410) 541-6354

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1548745573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 BAY DALE DR STE 211",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122815",
            "telephone_number": "410-541-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 BAY DALE DR STE 211",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122815",
            "telephone_number": "410-541-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSI COLLINS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "AMI",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "410-541-6354",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.