Individual provider Active NPI

Christin Jo Collins, MS, LMHCA

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1871234153
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
99101859A Issued in IN
Practice address
5074 Parterra CT
Indianapolis, IN 46237-2269
Phone
(317) 527-0070
NPI assigned
Apr 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 99101859A IN Primary

Addresses

Primary practice location

5074 Parterra CT
Indianapolis, IN 46237-2269

Mailing address

5074 Parterra CT
Indianapolis, IN 46237-2269
Phone (317) 728-5021

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
99101859AINMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1871234153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5074 PARTERRA CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372269",
            "telephone_number": "317-728-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5074 PARTERRA CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372269",
            "telephone_number": "317-527-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CHRISTIN",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "MS, LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99101859A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.