Mara Blythe Collins, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001258 Issued in GA

Practice address

1189 Euclid Ave NE
Atlanta, GA 30307-1509

Phone

(404) 522-9912

NPI assigned

Sep 6, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1629327580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 KIMMERIDGE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303446809",
            "telephone_number": "678-938-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 EUCLID AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071509",
            "telephone_number": "404-522-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARA",
        "middle_name": "BLYTHE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Collins IV
• Justin Mark Collins, M.M.SC.
• Keely Mack Collins, PT, DPT
• Lavinia Collins, LMT
• Madelynn Collins
• Marie Elizabeth Collins, DPM
• Marietta Collins, PH. D.
• Matthew Harmon Collins, M.D.
• Maya Collins
• Melissa Collins, NP-C

• Marriage & Family Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.