Kendra Ann Collins, LPC
Individual provider Active NPI Professional Counselor · Battlefield, MO
NPI 1659629343 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1659629343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2019035248 (MO)
- Practice address
- 3833 W Peony Ter
Battlefield, MO 65619-5100 - Phone
- (417) 268-7765
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250613002447 | MO | Practitioner - Mental Health Counselor | 3072024363 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocates for a Healthy Community Inc | Current |
Accepting new patients | |
| Advocates for a Healthy Community, Inc | Current |
Accepting new patients |
Locations
1720 W Grand St
Ste A
Springfield, MO 65802
Phone (417) 851-1625
440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2019035248 | MO | Yes |
Addresses
Primary practice location
3833 W Peony Ter
Battlefield, MO 65619-5100
Mailing address
3322 S Campbell Ave Ste R
Springfield, MO 65807-4980
Phone (417) 380-9033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14429499 | Other | CAQH | |
| 490075127 | Medicaid | MO |
Other providers in Battlefield, MO
- Shelli Chainey-Hancock
- Jordan Lynne Chalhoub
- Jesseca Clark
- Annie Laurie Cole-School
- Cassandra B Cole
- Comc
- Marlene K. Feisthamel
- Hines Street Pharmacy 2 LLC
- Journey Counseling Center
- Louis P Krenn Jr.
All providers in Battlefield, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.