Individual provider Active NPI

Brooke Caroline Collins, LCSW

  • Clinical Social Worker
  • Redmond, OR
National Provider Identifier
1871071373
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10803 Issued in OR
Practice address
645 NW 4TH St
Redmond, OR 97756-1502
Phone
(541) 389-7741
Fax
(541) 278-8375
NPI assigned
Aug 6, 2018
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X L10803 OR Primary

Addresses

Primary practice location

645 NW 4TH St
Redmond, OR 97756-1502

Mailing address

PO Box 1517
Pendleton, OR 97801-0410
Phone (877) 708-1119

Other practice location 1

354 W Adams Ave
Sisters, OR 97759-2619
Phone (541) 389-7741

Other practice location 2

: 51340 Highway 97, La Pine, OR
La Pine, OR 97739-9871
Phone (541) 322-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220208001380 OR Practitioner - Clinical Social Worker 1658764071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Praxis Health PCGroup PAC ID 8325941446, 174 clinicians

Practice addresses (Care Compare)

645 NW 4TH St
Redmond, OR 97756-1502
Phone (541) 389-7741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deschutes County Oregon Current Accepting new patients
Deschutes County Oregon CurrentSince Jan 1, 2022 Accepting new patients
Deschutes County Oregon CurrentSince Jan 1, 2022 Accepting new patients
Praxis Health, PC CurrentSince Dec 1, 2025 Accepting new patients
Praxis Health, PC CurrentSince Dec 1, 2025 Accepting new patients

Locations

2577 NE Courtney Dr
Bend, OR 97701
Phone (541) 322-7400

645 NW 4th St
Redmond, OR 97756
Phone (541) 504-5444

Organizations & group practices 5

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1871071373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "877-708-1119",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 NW 4TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561502",
            "telephone_number": "541-389-7741",
            "fax_number": "541-278-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 W Adams Ave",
            "address_purpose": "LOCATION",
            "city": "Sisters",
            "state": "OR",
            "postal_code": "977592619",
            "country_code": "US",
            "telephone_number": "541-389-7741",
            "fax_number": "541-278-8375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": ": 51340 Highway 97, La Pine, OR",
            "address_purpose": "LOCATION",
            "city": "La Pine",
            "state": "OR",
            "postal_code": "977399871",
            "country_code": "US",
            "telephone_number": "541-322-7500",
            "fax_number": "541-322-7565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "BROOKE",
        "middle_name": "CAROLINE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.