Individual provider Active NPI

Mary Kathleen Collier, LCMHC

  • Professional Counselor
  • Morganton, NC
National Provider Identifier
1689732323
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5389 Issued in NC
Practice address
350 E Parker Rd
Suite 100
Morganton, NC 28655-5155
Phone
(828) 624-1900
Fax
(828) 438-6225
NPI assigned
Dec 5, 2006
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5389 NC
Professional Counselor 101YP2500X 5389 NC Primary

Addresses

Primary practice location

350 E Parker Rd
Suite 100
Morganton, NC 28655-5155

Mailing address

327 1St Ave NW
Hickory, NC 28601-6122
Phone (828) 695-5900

Other identifiers 5

IdentifierTypeStateIssuer
1689732323OtherNCMEDCOST
6103451MedicaidNC
600464-032OtherNCMAGELLAN
147PHOtherNCBCBS
1689732323OtherNCTRICARE/HEALTH NET FEDERAL SVS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231222000024 NC Practitioner - Mental Health Counselor 0244680833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Mental Health Fund IncGroup PAC ID 2264498344, 19 clinicians

Practice addresses (Care Compare)

327 1St Ave NW
Hickory, NC 28601-6122
Phone (828) 695-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5389NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Fund Inc CurrentSince Jan 1, 2024 Accepting new patients
The Mental Health Fund Inc Mental Health Current Accepting new patients

Locations

327 1st Ave NW
Hickory, NC 28601
Phone (828) 695-2125

301 E Meeting St
Morganton, NC 28655
Phone (828) 608-0800

350 E Parker Rd
Ste 100
Morganton, NC 28655
Phone (828) 438-6226

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1689732323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 1ST AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016122",
            "telephone_number": "828-695-5900",
            "fax_number": "828-695-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E PARKER RD",
            "address_2": "SUITE 100",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555155",
            "telephone_number": "828-624-1900",
            "fax_number": "828-438-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5389",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "1689732323",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103451",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600464-032",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "147PH",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/HEALTH NET FEDERAL SVS",
            "identifier": "1689732323",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.