Kelley Collins, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4301 Issued in TN

Practice address

2023 W Houston Way
Memphis, TN 38139-6933

Phone

(347) 633-0494

NPI assigned

Dec 20, 2017

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 GA

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Align Wellness Solutions LLCGroup PAC ID 1850651621, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Align Wellness Solutions LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1548776412
  Medicare reassignment Care Compare group NPD
• Editions of You Psychotherapy & Art Therapy

  • Professional Counselor
  • Tucker, GA
  • NPI 1053240499
  NPD Authorized official

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1750897146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W HOUSTON WAY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381396933",
            "telephone_number": "347-633-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W HOUSTON WAY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381396933",
            "telephone_number": "347-633-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KELLEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILIES FIRST",
            "identifier": "58-1054331",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Griffin Sinclair Collins, M.D.
• Jill K Collins
• Karen Ladonna Collins, PHARM.D.
• Kathleen P Collins, M.D.
• Keith A. Collins, CRNA
• Kimberly Paige Collins, PHARM.D.
• Maria Helena Vanderlei Collins, LPC
• Marquita Ann Collins
• Mechel Collins
• Sandy Collins

• Professional Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.