Active NPI
Kenneth Coll, PHD
- Mental Health Counselor
- Reno, NV
National Provider Identifier
1750045837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 334
- Practice address
- 4771 W Creek Ridge TRL
Reno, NV 89519-8031 - Phone
- (208) 861-4877
- NPI assigned
- Oct 26, 2021
- Last updated
- Oct 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 334 | ID | Primary |
| Professional Counselor | 101YP2500X | 265 | WY | |
| Professional Counselor | 101YP2500X | 2835 | NV |
Addresses
Primary practice location
4771 W Creek Ridge TRL
Reno, NV 89519-8031
Mailing address
4771 W Creek Ridge TRL
Reno, NV 89519-8031
Phone (208) 861-4877
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Reno | Direct |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334 | ID | MD | Mental Health Counselor |
| 265 | WY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1750045837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4771 W CREEK RIDGE TRL",
"city": "RENO",
"state": "NV",
"postal_code": "895198031",
"telephone_number": "208-861-4877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4771 W CREEK RIDGE TRL",
"city": "RENO",
"state": "NV",
"postal_code": "895198031",
"telephone_number": "208-861-4877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLL",
"first_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "334",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "265",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "2835",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Reno",
"affiliation": "N",
"endpointDescription": "secure",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Reno",
"address_1": "4771 W Creek Ridge Trl",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895198031",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.