Active NPI
Michael John Collins, L.M.F.T.
- Marriage & Family Therapist
- Glendale, CA
National Provider Identifier
1861802191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 53331
- Practice address
- 410 Arden Ave
Suite 201
Glendale, CA 91203-1127 - Phone
- (213) 632-9846
- NPI assigned
- May 8, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 53331 | CA | Primary |
Addresses
Primary practice location
410 Arden Ave
Suite 201
Glendale, CA 91203-1127
Mailing address
PO Box 292302
Los Angeles, CA 90029-8302
Phone (213) 632-9846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 8, 2024 through Aug 8, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 53331 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399507200000",
"number": "1861802191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 292302",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900298302",
"telephone_number": "213-632-9846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 ARDEN AVE",
"address_2": "SUITE 201",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912031127",
"telephone_number": "213-632-9846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "L.M.F.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-08",
"last_updated": "2014-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 53331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.