Collective PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COLLECTIVE PLLC

Doing business as

The Collective

Practice address

10201 W Markham St Ste 203
Little Rock, AR 72205-2181

Phone

(501) 424-0555

Fax

(501) 500-2666

NPI assigned

Jun 17, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Raysha K Clark, LPCNPI 1730668864

Title

Owner/Therapist

Phone

(501) 424-0555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Collective Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raysha Clark, LPC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1730668864
  NPD Authorized official

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1972163434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 W MARKHAM ST STE 203",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052181",
            "telephone_number": "501-424-0555",
            "fax_number": "501-500-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 W MARKHAM ST STE 203",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052181",
            "telephone_number": "501-424-0555",
            "fax_number": "501-500-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RAYSHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "501-424-0555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231027795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Collective",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Colford
• Kaily Colla, FNP
• Collaborative Counseling Associates, PLLC
• Matthew Collar, DPT
• Mel Collazo, DDS, MS
• Constance Collier, LPC
• Gregory Collier, MHPP
• Justin Collier, DC
• Abigail Grace Collins
• Avery E Collins, PA-C

• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.