Individual provider Active NPI

Amanda Lea Collins, LMFT

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1922403336
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201615 Issued in TX
Practice address
21015 Market RDG Ste 101
San Antonio, TX 78258-4979
Phone
(210) 461-2214
Fax
(210) 496-0101
NPI assigned
Oct 28, 2014
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 201615 TX Primary

Addresses

Primary practice location

21015 Market RDG Ste 101
San Antonio, TX 78258-4979

Mailing address

21015 Market RDG Ste 101
San Antonio, TX 78258-4979
Phone (210) 461-2214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
201615TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa McVicker PHD LMFT PLLC Marriage & Family Therapist PastSince Mar 4, 2021 Accepting new patients
Northrup Therapy PastSince Sep 5, 2021 Accepting new patients
Lindsay Durham Ma LMFT PLLC PastSince Jul 1, 2020 Accepting new patients

Organizations & group practices 4

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": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1922403336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21015 MARKET RDG STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584979",
            "telephone_number": "210-461-2214",
            "fax_number": "210-496-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21015 MARKET RDG STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584979",
            "telephone_number": "210-461-2214",
            "fax_number": "210-496-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "AMANDA",
        "middle_name": "LEA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.