Active NPI
Julie Lynn Collinson, MA, NCC, CSCSOT, LPC
- Professional Counselor
- Oregon City, OR
National Provider Identifier
1578021671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C6090
- Practice address
- 704 Main St Ste 305-6
Oregon City, OR 97045-1842 - Phone
- (503) 896-9505
- NPI assigned
- Mar 7, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C6090 | OR | |
| Professional Counselor | 101YP2500X | C6090 | OR | Primary |
Addresses
Primary practice location
704 Main St Ste 305-6
Oregon City, OR 97045-1842
Mailing address
23905 S Blount Rd
Canby, OR 97013-7783
Phone (503) 896-9505
Other practice location 1
707 NE Couch St
Portland, OR 97232-2922
Phone (503) 233-6090
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6090 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1578021671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23905 S BLOUNT RD",
"city": "CANBY",
"state": "OR",
"postal_code": "970137783",
"telephone_number": "503-896-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 MAIN ST STE 305-6",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451842",
"telephone_number": "503-896-9505"
}
],
"practiceLocations": [
{
"address_1": "707 NE Couch St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972322922",
"country_code": "US",
"telephone_number": "503-233-6090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINSON",
"first_name": "JULIE",
"middle_name": "LYNN",
"credential": "MA, NCC, CSCSOT, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C6090",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C6090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.