Danyell Collins-Facteau, LPC, CSAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005794 Issued in VA

Practice address

3804 Poplar Hill Rd Ste D
Chesapeake, VA 23321-5532

Phone

(757) 709-6319

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1962821165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 GREAT BRIDGE BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203904",
            "telephone_number": "757-819-6140",
            "fax_number": "757-819-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 POPLAR HILL RD STE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215532",
            "telephone_number": "757-709-6319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Great Bridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233203904",
            "country_code": "US",
            "telephone_number": "757-819-6140",
            "fax_number": "757-819-6149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS-FACTEAU",
        "first_name": "DANYELL",
        "name_prefix": "Ms.",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Moreno DDS PLLC
• Mackenzie Collen, PSY.D.
• Traci M Colley, CRNA
• Donna Lee Collier
• Ryan Kenneth Collier
• Autumn Collins
• Nicole Collins
• Rachelle Rainforth Collins, PHARM.D.
• William T Collins Jr., M.D.
• Benjamin Daniel Colosmo

• Professional Counselor in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.