Carol Ann Collins, ED.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

3773 Issued in AZ

Practice address

519 N Leroux St
Flagstaff, AZ 86001-3221

Phone

(928) 774-2581

Fax

(928) 774-2581

NPI assigned

Jun 14, 2006

Last updated

Apr 10, 2017By 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

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1780627935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S SAN FRANCISCO ST",
            "address_2": "SUITE 12",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015796",
            "telephone_number": "928-774-2581",
            "fax_number": "928-773-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N LEROUX ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013221",
            "telephone_number": "928-774-2581",
            "fax_number": "928-774-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "3773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence Barkley Coggin, P.T.
• Molly Deidre Cole, RN
• Sarah M Coles, M.D.
• Lindsay Colley, LMT
• Aram L Collins
• Jerry Lee Collins Jr.
• Kathleen Adele Collins, DO, MBA
• Laurel Taylor Combs, FNP
• Comfort Care Assisted Living Centers, LLC
• Communication Enrichment Services LLC

• Counseling Psychologist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Counseling Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.