DR. KELLY MICHELLE COLLINS (NPI# 1003171711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003171711 |
| Entity Type | Individual |
| Full Name | DR. KELLY MICHELLE COLLINS |
| Credential | PH. D., LPC NCC RPT |
| Practice Address |
15803 Ne 23rd St # B Choctaw OK 73020-8428 |
| Mailing Address |
623 N Carolyn Dr Choctaw OK 73020-7481 |
| Practice Telephone | 4056399999 |
| Mailing Telephone | 4054648679 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2013-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2381 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376050997 | Kelly Collins | Specialist | 3923 S 10th Ave, Caldwell, ID 83605-6762 | 2018-01-04 |
| 1386193779 | Kelly Collins | Counselor | 4221 S Mlk Blvd, Lansing, MI 48910-5201 | 2016-09-26 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1093027690 | Kelly Collins | Occupational Therapist | 1378 Highland Village Dr, Apt 24, Duluth, MN 55811-5274 | 2010-07-12 |
| 1073682647 | Kelly S Collins | Social Worker | 130 E 101st St, New York, NY 10029-6106 | 2006-11-07 |
| 1972555258 | Kelly Denene Gonzales Collins | Family Medicine | 2211 Capehart Rd, Suite 104, Bellevue, NE 68123-2121 | 2006-05-16 |
| 1801361019 | Kelly Anne Collins | Nurse Practitioner | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2018-10-04 |
| 1811477367 | Kelly Lynn Collins | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2018-08-15 |
| 1568958999 | Kelly Christine Collins | Occupational Therapy Assistant | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2018-07-09 |
| 1679067557 | Kelly Collins | Behavior Technician | 206 S Washington St Apt 1, Baltimore, MD 21231-2619 | 2018-06-14 |
| Street Address |
15803 NE 23RD ST # B |
| City | CHOCTAW |
| State | OK |
| Zip Code | 73020-8428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033666151 | Healthcare Express, LLP | Clinic/Center | 14321 Ne 23rd Street, Choctaw, OK 73020 | 2016-09-07 |
| 1497123798 | Steven Kyle Toelle | Counselor | 14700 Ne 50th Street, Choctaw, United States, OK 73020 | 2015-09-03 |
| 1295126936 | Maria Caram | Behavioral Analyst | 8525 Bella Circle, Choctaw, OK 73020 | 2015-02-17 |
| 1881948859 | Michaelanne Kelly | Physical Therapy Assistant | 1880 N Triple X Rd, Choctaw, OK 73020 | 2012-10-30 |
| 1508189465 | Helen Marie Allred | Counselor | 14453 Se 29th Street, Ste D, Choctaw, OK 73020 | 2010-03-08 |
| 1497944524 | Jaimie Sue Wright | Counselor | 14455 Steele Dr, Choctaw, OK 73020 | 2007-10-15 |
| 1972794949 | Jill Mechelle Loveless | Pharmacist | 2350 N Harper St, Choctaw, OK 73020 | 2007-08-06 |
| 1972719615 | Mary Neely Clayton | Dentist | 2408 N Main, Choctaw, OK 73020 | 2007-05-16 |
| 1215061486 | Belaben B Patel | Counselor | 14625 Ne3rd, Choctaw, OK 73020 | 2007-03-16 |
| 1740314129 | Tracy Ann Gasbarra | Dentist | 2401 N Henney Rd, Choctaw, OK 73020 | 2007-03-15 |
| Find all providers in zip 73020 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801202411 | Tammy Rea | Counselor | 1394 Scenic Trl, Choctaw, OK 73020-9749 | 2014-07-02 |
| 1649521485 | Dusharme Llanusa | Counselor | 299 S Triple X Rd, Choctaw, OK 73020-6911 | 2012-09-19 |
| 1932246618 | Mary D Looman | Counselor | 12421 Max Ln, Choctaw, OK 73020-7160 | 2007-01-31 |
| 1891103099 | George E. Peters Counseling, Pllc | Counselor | 15803 Ne 23rd St, Choctaw, OK 73020-8428 | 2014-07-31 |
| 1114264397 | Danielle Charlotte Marie Holmstrom | Counselor | 14625 Ne 23rd St, Choctaw, OK 73020-8728 | 2013-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758224 | Taylor Christine Clinton | Counselor | 3838 Nw 36th St Ste 300, Oklahoma City, OK 73112-2970 | 2020-10-22 |
| 1093328346 | Kathryn Glover Bishop | Counselor | 5921 E 97th St, Tulsa, OK 74137-5011 | 2020-08-26 |
| 1528670239 | Grand Lake Therapeutics LLC | Counselor | 1441 Lakeside Dr, Grove, OK 74344-4223 | 2020-08-24 |
| 1164034898 | Heather Jean Miller | Counselor | 1320 E 9th St Ste 8, Edmond, OK 73034-5773 | 2020-08-24 |
| 1225640337 | Michelle Davis Gannaway | Counselor | 13315 N Coltrane Rd, Edmond, OK 73013-8257 | 2020-08-19 |
| 1841801321 | Yolanda Cummings Counseling, Inc. | Counselor | 24900 County Road 1512, Ada, OK 74820-0994 | 2020-08-10 |
| 1518585595 | Twelfth House Wellness LLC | Counselor | 1929 Nw 29th St, Oklahoma City, OK 73106-1019 | 2020-07-07 |
| 1396369286 | Advocate for Mental Health Services LLC | Counselor | 1300 Mcgee Dr Ste 103, Norman, OK 73072-5858 | 2020-06-05 |
| 1639791221 | Santa Gladys Velez | Counselor | 1215 Crossroads Blvd Ste 212, Norman, OK 73072-3391 | 2020-05-18 |
| 1801415898 | Powerful Design Consulting, LLC | Counselor | 122 E Woodcraft Rd, Bennington, OK 74723-1833 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KELLY MICHELLE COLLINS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.