Individual provider Active NPI

Cheryl J Collins, LMHC, RN

  • Mental Health Counselor
  • Riverview, FL
National Provider Identifier
1841388006
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10337 Issued in FL
Practice address
10425 Soaring Eagle Dr
Riverview, FL 33578-3354
Phone
(518) 461-2597
NPI assigned
Oct 11, 2006
Last updated
Jul 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001880 NY
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN9262416 FL
Mental Health Counselor 101YM0800X MH10337 FL Primary

Addresses

Primary practice location

10425 Soaring Eagle Dr
Riverview, FL 33578-3354

Mailing address

10425 Soaring Eagle Dr
Riverview, FL 33578-3354
Phone (518) 461-2597

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
MH10337FLMDMental Health Counselor
RN9262416FLMDAddiction (Substance Use Disorder) Registered Nurse
001880NYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1841388006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 SOARING EAGLE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783354",
            "telephone_number": "518-461-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 SOARING EAGLE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783354",
            "telephone_number": "518-461-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CHERYL",
        "middle_name": "J",
        "credential": "LMHC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001880",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "RN9262416",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.