Active NPI
Lucy J Collier, M.A., MFT
- Marriage & Family Therapist
- Berkeley, CA
National Provider Identifier
1598807612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 37260
- Practice address
- 1940B Virginia St
Berkeley, CA 94709-2136 - Phone
- (510) 665-4874
- NPI assigned
- Feb 13, 2007
- Last updated
- Apr 26, 2012
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37260 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 201480 | TX |
Addresses
Primary practice location
1940B Virginia St
Berkeley, CA 94709-2136
Mailing address
1047 Peralta Ave
Albany, CA 94706-2401
Phone (510) 665-4874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 22, 2024 through Apr 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37260 | CA | MD | Marriage & Family Therapist |
| 201480 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1598807612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 PERALTA AVE",
"city": "ALBANY",
"state": "CA",
"postal_code": "947062401",
"telephone_number": "510-665-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940B VIRGINIA ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947092136",
"telephone_number": "510-665-4874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "LUCY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "M.A., MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "37260",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201480",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.