Active NPI
Ebone Nicole Collins, M.S., ALC, NCC
- Professional Counselor
- Gadsden, AL
National Provider Identifier
1699444554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3854A
- Practice address
- 307 S 5TH St Ste a
Gadsden, AL 35901-4259 - Phone
- (256) 399-4302
- NPI assigned
- Sep 13, 2021
- Last updated
- Sep 13, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3854A | AL | Primary |
Addresses
Primary practice location
307 S 5TH St Ste a
Gadsden, AL 35901-4259
Mailing address
412 Brian Dr
Adamsville, AL 35005-2149
Phone (205) 427-6190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3854A | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1699444554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 BRIAN DR",
"city": "ADAMSVILLE",
"state": "AL",
"postal_code": "350052149",
"telephone_number": "205-427-6190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S 5TH ST STE A",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359014259",
"telephone_number": "256-399-4302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "EBONE",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "M.S., ALC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2021-09-13",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "C3854A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gadsden, AL
- Ashley Cole, M.S., CCC-SLP
- Matthew Alan Cole, PHARMD
- Robert J Coley, CRNA
- Susan Hill Coley, RN
- Jesse Collier, B.S., RBT
- Comfort Care Home Health of Northeast Alabama, LLC (Aveanna Home Health)
- Comfort Care Hospice, LLC (Aveanna Hospice of Gadsden)
- Complete Family Care, LLC
- Complete Medical Care, P.C.
- Complete Medical, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.