Active NPI
Denise Collins, LPCC, LICDC, CEAP
- Professional Counselor
- Euclid, OH
National Provider Identifier
1932210390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0000904
- Practice address
- 20690 Lakeland Blvd
Euclid, OH 44119-3241 - Phone
- (216) 404-1900
- Fax
- (216) 404-1901
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0000904 | OH | Primary |
Addresses
Primary practice location
20690 Lakeland Blvd
Euclid, OH 44119-3241
Mailing address
11475 Grey Friar Way
Chardon, OH 44024-8350
Phone (440) 285-8442
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0000904 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Counseling & Mediation Services, Inc. | Professional | Past | Accepting new patients |
Organizations & group practices 1
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
- Euclid, OH
- NPI 1235242280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932210390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11475 GREY FRIAR WAY",
"city": "CHARDON",
"state": "OH",
"postal_code": "440248350",
"telephone_number": "440-285-8442",
"fax_number": "440-285-8443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20690 LAKELAND BLVD",
"city": "EUCLID",
"state": "OH",
"postal_code": "441193241",
"telephone_number": "216-404-1900",
"fax_number": "216-404-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "DENISE",
"name_prefix": "Ms.",
"credential": "LPCC, LICDC, CEAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0000904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.