Individual provider Active NPI

Aydrelle Collins, LPC

  • Professional Counselor
  • Frisco, TX
National Provider Identifier
1841846771
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82480 Issued in TX
Practice address
11500 State Highway 121 Ste 510
Frisco, TX 75035-9348
Phone
(469) 200-4093
Fax
(469) 200-4079
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 82480 TX Primary

Addresses

Primary practice location

11500 State Highway 121 Ste 510
Frisco, TX 75035-9348

Mailing address

11500 State Highway 121 Ste 930
Frisco, TX 75035-9347
Phone (469) 200-4093

Other practice location 1

11500 State Highway 121 Ste 930
Frisco, TX 75035-9347
Phone (469) 200-4083

Other identifiers 1

IdentifierTypeStateIssuer
0000000OtherN/A

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

LicenseStateTypeSpecialty
82480TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nazimuddin Mohammed MD PA Multi-Specialty CurrentSince Sep 10, 2023 Accepting new patients

Locations

11500 State Highway 121
Ste 510
Frisco, TX 75035
Phone (469) 200-4093

11500 State Highway 121
Ste 930
Frisco, TX 75035
Phone (469) 200-4083

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1841846771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 STATE HIGHWAY 121 STE 930",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359347",
            "telephone_number": "469-200-4093",
            "fax_number": "469-200-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 STATE HIGHWAY 121 STE 510",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359348",
            "telephone_number": "469-200-4093",
            "fax_number": "469-200-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 State Highway 121 Ste 930",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750359347",
            "country_code": "US",
            "telephone_number": "469-200-4083",
            "fax_number": "469-200-4079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "AYDRELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "0000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.