Active NPI
Jessica E Collins, LPC, RBT
- Mental Health Counselor
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC015550
- Practice address
- 6311 Strickland St
Douglasville, GA 30134-1261 - Phone
- (678) 838-8333
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Mental Health Counselor | 101YM0800X | LPC015550 | GA | Primary |
Addresses
Primary practice location
6311 Strickland St
Douglasville, GA 30134-1261
Mailing address
403 Dunmurry PL
Warner Robins, GA 31093-3519
Other practice location 1
2225 Bemiss Rd Ste D
Valdosta, GA 31602-4819
Phone (800) 832-9419 ext. 1
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC015550 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| New Vision Counseling Center, LLC | Current | Accepting new patients | |
| Compass Behavioral & Developmental Consultants LLC | Behavior Analyst | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
6311 Strickland St
Douglasville, GA 30134
Phone (678) 838-8333
Organizations & group practices 3
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.
-
- Professional Counselor
- Douglasville, GA
- NPI 1578704250
-
- Behavior Analyst
- Valdosta, GA
- NPI 1134553985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1891346375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 DUNMURRY PL",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6311 STRICKLAND ST",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301341261",
"telephone_number": "678-838-8333"
}
],
"practiceLocations": [
{
"address_1": "2225 Bemiss Rd Ste D",
"address_purpose": "LOCATION",
"city": "Valdosta",
"state": "GA",
"postal_code": "316024819",
"country_code": "US",
"telephone_number": "800-832-9419 x1",
"fax_number": "855-859-1671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "JESSICA",
"middle_name": "E",
"credential": "LPC, RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC015550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.