Individual provider Active NPI

Nancy Paloma Collins, MS

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1629311980
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
97352 Issued in CA
Practice address
4701 Von Karman Ave Ste 331
Newport Beach, CA 92660-8150
Phone
(323) 896-9794
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 97352 CA Primary

Addresses

Primary practice location

4701 Von Karman Ave Ste 331
Newport Beach, CA 92660-8150

Mailing address

PO Box 32553
Los Angeles, CA 90032-0553
Phone (323) 896-9794

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 Science

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Paloma Collins Licensed Marriage and Family Therapist Inc. Marriage & Family Therapist CurrentSince Mar 9, 2020 Accepting new patients
Florece Family Services Inc CurrentSince Oct 29, 2023 Accepting new patients

Locations

4701 Von Karman Ave
Ste 331
Newport Beach, CA 92660
Phone (323) 896-9794

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629311980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32553",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900320553",
            "telephone_number": "323-896-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 VON KARMAN AVE STE 331",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608150",
            "telephone_number": "323-896-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "NANCY",
        "middle_name": "PALOMA",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.