CMS-1500 Box 24J / 33a • NPI
1205200136
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
101Y00000X
Licensed & Credentialed Counselor
Box 32 Service Location & ZIP+4
2901 PIGEON ROOST RD, RUSH, KY, 41168-8132
✓ 9-Digit EDI 837 ZIP+4 (41168-8132)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1205200136 (JESSICA MARIE COLLINS, M.Ed., LPCC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1205200136 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JESSICA MARIE COLLINS, M.Ed., LPCC |
| Plain-English Specialty | Licensed & Credentialed Counselor NUCC Code: 101Y00000X (Counselor) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2901 PIGEON ROOST RD, RUSH, KY, 41168-8132 |
| Practice Telephone / Fax | Tel: (606) 928-6648 |
| Administrative Mailing Address | 1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY, 40511-1277 |
| Enumeration & Last Sync | Enumerated: 2015-11-16 | CMS Record Updated: 2021-04-06 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (101Y00000X)
What Does Taxonomy Code 101Y00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101Y00000X translates to:
"Licensed & Credentialed Counselor"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JESSICA MARIE COLLINS, M.Ed., LPCC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101YA0400X — Counselor, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) | State: KY | License: 173244 | Primary: Secondary |
101Y00000X — CounselorPlain English: Licensed & Credentialed Counselor | State: KY | License: 173244 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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