CLARISSA COLLINS
NPI 1194361436
Counselor - Mental Health in Spokane, WA

Q: What is Clarissa Collins's NPI number?

The NPI number for Clarissa Collins is 1194361436. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Q: What is Clarissa Collins's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Clarissa Collins enrolled in Medicare?

No. Clarissa Collins has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Clarissa Collins was last updated on November 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 21, 2019Opted out of Medicare · through Jan 1, 2028

1404 E 11TH AVE, SPOKANE, WA 99202(509) 744-1117(509) 744-3055 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Clarissa Collins NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARISSA COLLINS (NPI 1194361436) is an individual mental health provider in Spokane, Washington, licensed in Washington (MC60999144) and active in the NPI registry since November 2019. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1194361436

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCLARISSA COLLINS

Location Address1404 E 11TH AVESpokane, WA 99202-3502

Mailing AddressPo Box 3183Spokane, WA 99220-3183 · (509) 744-1117 · Fax (509) 744-3055

Phone(509) 744-1117

Fax(509) 744-3055

Sole ProprietorNo

Enumeration DateNovember 21, 2019

✔ NPI 1194361436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · MC60999144

1404 E 11TH AVE, Spokane, WA 99202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Clarissa Collins has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUDY CORRINNE JAGIELLO PSY.D.

Psychologist (Clinical)