Sean Collins

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180014892 Issued in IL

Practice address

19150 S. Kedzie Ave
Suite 201
Flossmoor, IL 60422

Phone

(708) 300-8864

NPI assigned

Sep 24, 2013

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Healing for Your Soul Therapeutic Services LLC

  • Professional Counselor
  • Tinley Park, IL
  • NPI 1134082902
  Medicare reassignment NPD
• April Arden and Associates LLC

  • Early Intervention Provider Agency
  • Elgin, IL
  • NPI 1538397591
  NPD (past)
• Elevation Individual and Family Therapy PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Homewood, IL
  • NPI 1770270597
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1770919698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19150 S. KEDZIE AVE",
            "address_2": "SUITE 201",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "60422",
            "telephone_number": "708-300-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19150 S. KEDZIE AVE",
            "address_2": "SUITE 201",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "60422",
            "telephone_number": "708-300-8864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19150 S. Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "60422",
            "country_code": "US",
            "telephone_number": "708-300-8864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180014892",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth N Cline, M.D.
• CLS Comprehensive Services, LLC
• Collabcore
• Melinda A Collins
• Sandra K. Collins, P.T.
• Community Wellness Group LLC
• Mary Condon, RD, LDN
• Tiffinie Conner
• Ghana Marie Cooper, MSW, D.MIN
• Counseling Healing and Restoring the Inner Self to Mindful Authenticit

• Mental Health Counselor in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.