Individual provider Active NPI

Joseph Collins, LMFT 138560

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1962006353
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138560 Issued in CA
Practice address
1554 Sinaloa Rd # 26
Simi Valley, CA 93065-3032
Phone
(818) 208-1777
NPI assigned
Nov 25, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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 138560 CA Primary

Addresses

Primary practice location

1554 Sinaloa Rd # 26
Simi Valley, CA 93065-3032

Mailing address

6442 Platt Ave # 448
West Hills, CA 91307-3216
Phone (818) 208-1777

Other practice location 1

6162 Neddy Ave
Woodland Hills, CA 91367-1131
Phone (818) 208-1777

Other names 1

  • Joe Collins Other name

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

LicenseStateTypeSpecialty
138560CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph K Collins Marriage & Family Therapist CurrentSince May 28, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1962006353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 PLATT AVE # 448",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073216",
            "telephone_number": "818-208-1777",
            "fax_number": "888-388-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 SINALOA RD # 26",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653032",
            "telephone_number": "818-208-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6162 Neddy Ave",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913671131",
            "country_code": "US",
            "telephone_number": "818-208-1777",
            "fax_number": "888-388-0796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JOSEPH",
        "credential": "LMFT 138560",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-25",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "COLLINS",
            "credential": "LMFT 138560",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.