TRACY COLLINS (NPI# 1649666082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649666082 |
| Entity Type | Individual |
| Full Name | TRACY COLLINS |
| Practice Address |
2403 Professional Dr Ste 102 Santa Rosa CA 95403-3007 |
| Mailing Address |
213 Pear Ln Santa Rosa CA 95407-7671 |
| Practice Telephone | 7075712233 |
| Mailing Telephone | 4153063433 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LMFT 38869 | CA | 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 |
| 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 |
| 1588739072 | Tracy Marie Collins | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2006-11-21 |
| Street Address |
2403 PROFESSIONAL DR STE 102 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518024389 | Drug Abuse Alternatives Center | Community/Behavioral Health | 2403 Professional Dr, Suite 102, Santa Rosa, CA 95403-3007 | 2007-01-02 |
| 1033744636 | Athena Kostick | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2020-03-04 |
| 1861024499 | Christopher James Mazzo | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2020-02-11 |
| 1578107421 | Sheila Diane Phariss | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-11-04 |
| 1093368979 | Stephanie Pande | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-07-19 |
| 1063064715 | Drug Abuse Alternatives Center | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-07-12 |
| 1528625738 | Shane Michael Short | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-05-22 |
| 1063974657 | Jennifer Kathleen Haglund - Hill | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-04-02 |
| 1407326408 | Maria D Cardenas | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2018-12-03 |
| 1578071239 | David Lee Morse | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2018-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1730710260 | Harold Joseph Bahr | Counselor | 1550 N Dutton Ave, Santa Rosa, CA 95401-4601 | 2020-02-03 |
| 1801432398 | William Carroll | Counselor | 1260 N Dutton Ave Ste 185, Santa Rosa, CA 95401-7146 | 2019-11-20 |
| 1497390462 | Emily Sue Hamp | Counselor | 1202 Woodlake Dr, Santa Rosa, CA 95405-9217 | 2019-11-13 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1174005540 | Amal Saeed Ahmed | Counselor | 2908 Bay Village Cir Apt 2108, Santa Rosa, CA 95403-3611 | 2018-09-03 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1992223192 | Jill Mcculloch | Counselor | 300 Stony Point Rd Apt 190, Santa Rosa, CA 95401-5960 | 2017-09-07 |
| 1497299325 | Janice Anne Myers | Counselor | 3746 Oregon Dr, Santa Rosa, CA 95405-7136 | 2016-12-12 |
| 1689128001 | Wakanda Rose | Counselor | 254 Brey Rd, Santa Rosa, CA 95409-5556 | 2016-08-15 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on TRACY 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.