Active NPI
Jennifer Kay Collins, MA
- Mental Health Counselor
- Sioux City, IA
National Provider Identifier
1649028366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 077442
- Practice address
- 4820 Robin LN
Sioux City, IA 51106-9777 - Phone
- (712) 540-2550
- NPI assigned
- May 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 077442 | IA | Primary |
Addresses
Primary practice location
4820 Robin LN
Sioux City, IA 51106-9777
Mailing address
4820 Robin LN
Sioux City, IA 51106-9777
Phone (712) 540-2550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240702003187 | IA | Practitioner - Mental Health Counselor | 7315480589 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4280 Sergeant Rd
Suite 225
Sioux City, IA 51106-4634
Phone (712) 202-2969
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethink | Current | Accepting new patients |
Locations
4280 Sergeant Rd
Ste 225
Sioux City, IA 51106
Phone (712) 202-2255
Organizations & group practices 1
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": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1649028366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4820 ROBIN LN",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511069777",
"telephone_number": "712-540-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 ROBIN LN",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511069777",
"telephone_number": "712-540-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "JENNIFER",
"middle_name": "KAY",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "077442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.