Organization Active NPI

Melissa S. Collins

  • Clinical Social Worker
  • Hamilton, MT
National Provider Identifier
1609275379
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
983 Issued in MT
Legal business name
MELISSA S. COLLINS
Practice address
302 N 1St St
4A
Hamilton, MT 59840-2599
Phone
(406) 531-7164
NPI assigned
Aug 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Mrs. Melissa Sue Collins, LCSW, LACNPI 1043495690
Title
Therapist/Counselor
Phone
(406) 531-7164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1169 MT
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 983 MT Primary

Addresses

Primary practice location

302 N 1St St
4A
Hamilton, MT 59840-2599

Mailing address

302 N 1St St Ste 4a
Hamilton, MT 59840-2556
Phone (406) 531-7164

Other names 1

  • Melissa S. Collins Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150115002371 MT Part B Supplier - Clinic/Group Practice 4587988746 Receives reassigned benefits from 1 practitioner
Practice locations: Hamilton, MT

National Provider Directory

National Provider Directory

Locations

302 N 1st St
#4A
Hamilton, MT 59840
Phone (406) 531-7164

302 N 1st St
Ste 4A
Hamilton, MT 59840
Phone (406) 531-7164

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1609275379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N 1ST ST STE 4A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402556",
            "telephone_number": "406-531-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N 1ST ST",
            "address_2": "4A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402599",
            "telephone_number": "406-531-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA S. COLLINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "THERAPIST/COUNSELOR",
        "authorized_official_telephone_number": "406-531-7164",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1169",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa S. Collins Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.