Mark Steven Collins, LMFT #32049

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT32049 Issued in CA

Practice address

140 Gregory LN Ste 250
Pleasant Hill, CA 94523-3360

Phone

(925) 798-4551

NPI assigned

Sep 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The New Life Group

  dba New Life Network

  • Marriage & Family Therapist
  • Pleasant Hill, CA
  • NPI 1942327390
  NPD (past)

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

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599264000000",
    "number": "1871107912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 ATLAS AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191631",
            "telephone_number": "510-710-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GREGORY LN STE 250",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233360",
            "telephone_number": "925-798-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "credential": "LMFT #32049",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-05",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT32049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Clark, ATC
• Michelle A Cleary, N.P.
• Erin Clifton
• Kristen Colchico, BS, MS, DOCTORATE
• Collier Rehabilitation Systems
• Charleston Cone, MD
• Heather Coniglio, SLPA
• Connect & Bloom Speech Therapy Inc.
• Rachel Connelly
• Contra Costa Community College District (Diablo Valley College Dental Hygiene Dept)

• Marriage & Family Therapist in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; 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.