MRS. TRACY MARIE COLLINS (NPI# 1588739072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588739072 |
| Entity Type | Individual |
| Full Name | MRS. TRACY MARIE COLLINS |
| Other Name | TRACY MARIE SEVERSON |
| Credential | MA |
| Practice Address |
2865 Logan Ave San Diego CA 92113-2411 |
| Mailing Address |
2865 Logan Ave San Diego CA 92113 |
| Practice Telephone | 6192324357 |
| Practice Fax Number | 6192327048 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407190267 | Tracy Ann Collins | Speech-Language Pathologist | 9208 Evening Primrose Path, Austin, TX 78750-3546 | 2012-11-19 |
| 1902172141 | Tracy Ann Collins | Specialist/Technologist | 621 19th Ave, Lewiston, ID 83501-3893 | 2012-03-30 |
| 1437424157 | Tracy Collins | Physical Therapy Assistant | 26103 Six Points Rd, Sheridan, IN 46069-9217 | 2012-03-13 |
| 1730470345 | Tracy Collins | Nutritionist | 760 Champions Close, Milton, GA 30004-0949 | 2011-04-29 |
| 1396833661 | Tracy Tauneall Collins | Nurse Practitioner | 4445 Whispering Bend Dr, Memphis, TN 38125-3234 | 2006-10-11 |
| 1649666082 | Tracy Collins | Counselor | 2403 Professional Dr, Ste 102, Santa Rosa, CA 95403-3007 | 2015-04-13 |
| 1922309533 | Tracy E Collins | Nurse Practitioner | 1514 Jefferson Hwy, Urology Department, New Orleans, LA 70121-2429 | 2010-11-12 |
| 1730379298 | Tracy Leigh Collins | Massage Therapist | 15615 N Oracle Rd, Tucson, AZ 85739-9160 | 2007-07-30 |
| 1760696777 | Tracy L Collins | Psychologist | 2910 East Madison, Room 110, Seattle, WA 98112-4214 | 2007-05-09 |
| 1194863639 | Tracy Collins | Psychiatry & Neurology | 5501 Woodland Ave, Philadelphia, PA 19143-5607 | 2007-02-04 |
| Street Address |
2865 LOGAN AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92113-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659445815 | Joanne Lorraine Miller | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2006-11-20 |
| 1518575844 | Long Wang | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-07-22 |
| 1609484559 | Caitlin Donnelly | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-07-16 |
| 1194342816 | Laurel Thiel Silver | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-06-29 |
| 1831712793 | Carly Lynn Gunnersen | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-26 |
| 1477175602 | Safyyah Deseree Davis | Licensed Vocational Nurse | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-11 |
| 1134741549 | Angela Sarmiento | Licensed Vocational Nurse | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-08 |
| 1477175883 | Jary Barreto Crisi Center | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-08 |
| 1689205510 | Jasmine De Santiago | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-01-29 |
| 1518597103 | Karalyn Cardinale Hingorani | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609305986 | Cynthia Alba | Nutritionist | 1809 National Ave., San Diego, CA 92113 | 2017-06-08 |
| 1184153983 | Jessy Milligan | Counselor | 4125 Alpha Street, San Diego, CA 92113 | 2017-06-06 |
| 1730557406 | Deborah Mary Malloy | Counselor | Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 | 2015-09-10 |
| 1104220912 | Imhotep Mustaqeem | Counselor | 3336 Steel Street, San Diego, CA 92113 | 2014-10-22 |
| 1831507300 | Olga Vasileva | Student in an Organized Health Care Education/Training Program | 2865 Logan Avenue, San Diego, CA 92113 | 2014-07-29 |
| 1477961951 | Angelica Quezada | Counselor | 32510 Newton Avenue B103, San Diego, CA 92113 | 2014-07-28 |
| 1477986750 | Anita Pena | Licensed Vocational Nurse | 604 Olivewood Ter, San Diego, CA 92113 | 2013-08-09 |
| 1134459399 | Susana Cabada | Technician, Other | 4031 Marine View Ave., San Diego, CA 92113 | 2010-01-11 |
| 1669595609 | Maria Emilia Siller | Registered Nurse | 3177a Oceanview Blvd, San Diego, AL 92113 | 2007-04-06 |
| 1710009691 | Maria Engracia Siordia | Licensed Vocational Nurse | 3177a Ocean View Blvd, San Diego, CA 92113 | 2007-04-04 |
| Find all providers in zip 92113 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1558974378 | Monica Dixon | Counselor | 4930 Naples St Fl 1, San Diego, CA 92110-3820 | 2020-08-31 |
| 1952911612 | Shannon Kathleen Nolte | Counselor | 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 | 2020-08-06 |
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1487279493 | Christi Susan Leyva | Counselor | 10417 Crosscreek Ter, San Diego, CA 92131-1344 | 2020-06-15 |
| 1285256099 | Jehna Barnes | Counselor | 3636 Camino Del Rio N, San Diego, CA 92108-1703 | 2020-05-14 |
| 1457973455 | Cassandra Detgen | Counselor | 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 | 2020-05-12 |
| 1972131589 | Douglas Baker Marriage and Family Therapy, Inc. | Counselor | 2911 Adams Ave # 5, San Diego, CA 92116-1509 | 2020-03-30 |
| 1255966859 | Job Brunat | Counselor | 4169 38th St Apt 10, San Diego, CA 92105-1367 | 2020-03-04 |
| Find all providers in SAN DIEGO | ||||
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| 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.