Individual provider Active NPI

Joseph Collins, LPCC

  • Professional Counselor
  • Apple Valley, MN
National Provider Identifier
1689093619
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC00736 Issued in MN
Practice address
7600 143Rd St W Ste 300
Apple Valley, MN 55124-5529
Phone
(651) 373-9440
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC00736 MN Primary

Addresses

Primary practice location

7600 143Rd St W Ste 300
Apple Valley, MN 55124-5529

Mailing address

7600 143Rd St W Ste 300
Apple Valley, MN 55124-5529
Phone (262) 902-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212000289 MN Practitioner - Mental Health Counselor 5698118271 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC00736MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tamera Mensink TM Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
Joseph Collins Professional Current Accepting new patients

Locations

7600 143rd St W
Ste 300
Apple Valley, MN 55124
Phone (651) 373-9440

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1689093619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 143RD ST W STE 300",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245529",
            "telephone_number": "262-902-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 143RD ST W STE 300",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245529",
            "telephone_number": "651-373-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JOSEPH",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.