Active NPI
Sarah Faith Collins, L.P.
- Counseling Psychologist
- Maple Grove, MN
National Provider Identifier
1831233113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP5074
- Practice address
- 11224 86TH Ave N
Maple Grove, MN 55369-4510 - Phone
- (763) 647-8798
- NPI assigned
- Feb 19, 2007
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP5074 | MN | Primary |
Addresses
Primary practice location
11224 86TH Ave N
Maple Grove, MN 55369-4510
Mailing address
410 Lancaster LN N
Champlin, MN 55316-4002
Phone (651) 353-2268
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 |
|---|---|---|---|
| LP5074 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1831233113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 LANCASTER LN N",
"city": "CHAMPLIN",
"state": "MN",
"postal_code": "553164002",
"telephone_number": "651-353-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11224 86TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694510",
"telephone_number": "763-647-8798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "SARAH",
"middle_name": "FAITH",
"name_prefix": "Mrs.",
"credential": "L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP5074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.