Jennifer S Collins, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1852 Channel Creek Rd
Jackson, MS 39209-9195

Phone

(601) 506-0632

NPI assigned

May 29, 2012

Last updated

May 29, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

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  • NPI 1952766883
  NPD (past) Authorized official
• Jubilee Therapy, LLC

  • Speech-Language Pathologist
  • Vicksburg, MS
  • NPI 1417434986
  NPD (past)

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1578823241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 CHANNEL CREEK RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392099195",
            "telephone_number": "601-506-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 CHANNEL CREEK RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392099195",
            "telephone_number": "601-506-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI STATE BOARD OF HEALTH",
            "identifier": "S3601",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Collins, RDN
• Clinton Wood Collins, MD
• Cortney Collins, MD
• Felicia M Collins
• Jazmine Davis Collins, FNP-C
• John Woodson Marshall Collins, DO
• Larry L Collins, MD
• Latasha Collins, CFNP
• Leondrea Deanna Collins, FNP-C
• Michael Alec Collins

• Speech-Language Pathologist in Jackson, MS
• Providers in Jackson, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.