Amy Carroll Collins, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

01005 Issued in IA

Practice address

1101 5TH St
Ste 102
Coralville, IA 52241-2903

Phone

(319) 351-9777

Fax

(319) 351-9991

NPI assigned

Oct 17, 2006

Last updated

Aug 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Ancera Psychology Associates PC

  • Counseling Psychologist
  • Coralville, IA
  • NPI 1326306770
  NPD Authorized official
• Anne M. Green, Inc.

  • Counseling Psychologist
  • Coralville, IA
  • NPI 1053732016
  NPD (past)
• East Iowa Psychology Group PC

  • Psychologist
  • Iowa City, IA
  • NPI 1134183510
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1710067301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 5TH ST STE 102",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412904",
            "telephone_number": "319-351-9777",
            "fax_number": "319-351-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 5TH ST",
            "address_2": "STE 102",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412903",
            "telephone_number": "319-351-9777",
            "fax_number": "319-351-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "AMY",
        "middle_name": "CARROLL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "01005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK PROVIDER #",
            "identifier": "26854",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Clougher, PHD
• Bridgette Cochran
• Michael Duane Colburn, MD
• Padmalatha K Collappakkam, MBBS
• Alexandra Jane Collins, FNP-C
• Compass Psychology, Inc.
• Complete Vision Care
• Delfino M Concha, AU.D.
• Victoria Joann Concha, SLP
• Stephen C Conrad, LSCSW

• Counseling Psychologist in Coralville, IA
• Providers in Coralville, IA by specialty
• Counseling Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.