Active NPI
Maketa Collins, M.ED
- Mental Health Counselor
- Trevose, PA
National Provider Identifier
1932620564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4 Neshaminy Interplex Dr Ste 202
Trevose, PA 19053-6940 - Phone
- (215) 322-8860
- NPI assigned
- Jul 5, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4 Neshaminy Interplex Dr Ste 202
Trevose, PA 19053-6940
Mailing address
407 Glenwood Ave
East Lansdowne, PA 19050-2512
Phone (215) 667-3573
Other practice location 1
450 Parkway Ste 204
Broomall, PA 19008-4202
Phone (610) 353-5332
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 Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Mentor Healthcare LLC | Past | Accepting new patients | |
| Pennhurst Group LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Broomall, PA
- NPI 1972667004
-
- Community/Behavioral Health Agency
- Bala Cynwyd, PA
- NPI 1265687867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1932620564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 GLENWOOD AVE",
"city": "EAST LANSDOWNE",
"state": "PA",
"postal_code": "190502512",
"telephone_number": "215-667-3573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 NESHAMINY INTERPLEX DR STE 202",
"city": "TREVOSE",
"state": "PA",
"postal_code": "190536940",
"telephone_number": "215-322-8860"
}
],
"practiceLocations": [
{
"address_1": "450 Parkway Ste 204",
"address_purpose": "LOCATION",
"city": "Broomall",
"state": "PA",
"postal_code": "190084202",
"country_code": "US",
"telephone_number": "610-353-5332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "MAKETA",
"name_prefix": "Ms.",
"credential": "M.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trevose, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.