Active NPI
Maura L Collins, PSYD
- Clinical Child & Adolescent Psychologist
- Kents Store, VA
National Provider Identifier
1730705674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 0810008502
- Practice address
- 142 Jordan Store Rd
Kents Store, VA 23084-2200 - Phone
- (845) 863-4052
- NPI assigned
- Jun 16, 2020
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 0810008502 | VA | Primary |
Addresses
Primary practice location
142 Jordan Store Rd
Kents Store, VA 23084-2200
Mailing address
142 Jordan Store Rd
Kents Store, VA 23084-2200
Phone (804) 214-7680
Other names 1
- Maura Jenkins
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810008502 | VA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767484800000",
"number": "1730705674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 JORDAN STORE RD",
"city": "KENTS STORE",
"state": "VA",
"postal_code": "230842200",
"telephone_number": "804-214-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 JORDAN STORE RD",
"city": "KENTS STORE",
"state": "VA",
"postal_code": "230842200",
"telephone_number": "845-863-4052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MAURA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-16",
"last_updated": "2026-01-04",
"certification_date": "2026-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "VA",
"license": "0810008502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAURA",
"last_name": "JENKINS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kents Store, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.