Jamille D Collins, LCDC III

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.2207441 Issued in OH

Practice address

2368 Victory Pkwy
Cincinnati, OH 45206-2859

Phone

(513) 254-0310

Fax

(513) 254-0310

NPI assigned

Nov 6, 2017

Last updated

Aug 17, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1851803480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 1ST AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452051028",
            "telephone_number": "513-254-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2368 VICTORY PKWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062859",
            "telephone_number": "513-254-0310",
            "fax_number": "513-254-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JAMILLE",
        "middle_name": "D",
        "credential": "LCDC III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162380",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2207441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Collins
• Ikasha Latina Collins
• India Collins
• Jacqueline Collins, MD
• James Forrest Collins Jr., DDS
• Jannette Collins, MD
• John Collins, MD
• Jquam Sareitta Collins
• Kailey Collins
• Kasey Collins

• Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.