One of a Kind Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ONE OF A KIND THERAPY LLC

Practice address

916 West 10TH St #205
Medford, OR 97501

Phone

(541) 601-1728

NPI assigned

Jan 14, 2020

Organization subpart

No

Name

Edna Cydne Collins, LCSWNPI 1982115978

Title

Owner

Phone

(541) 601-1728

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

• Edna Cydne Collins, CSWA

  • Clinical Social Worker
  • Medford, OR
  • NPI 1982115978

  Clinical

  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2020.

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1669012928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SNOWCREST DRIVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97501",
            "telephone_number": "541-601-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 WEST 10TH ST #205",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97501",
            "telephone_number": "541-601-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE OF A KIND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "CYDNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-601-1728",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Medford, OR
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.