SHARAYA WALLACE-COLLINS LPC, NCC
NPI 1740865302
Counselor - Professional in Millburn, NJ

Active since March 16, 2021PECOS Enrolled
300 MILLBURN AVE, MILLBURN, NJ 07041(908) 858-3006 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2025, Mar 16, 2021 (2 updates tracked since 2021).

About Sharaya Wallace-collins Lpc, Ncc NPPES

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

SHARAYA WALLACE-COLLINS LPC, NCC (NPI 1740865302) is an individual professional provider in Millburn, New Jersey, licensed in New Jersey (37PC00999300) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1740865302
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHARAYA WALLACE-COLLINSCredential: LPC, NCC
Location Address300 MILLBURN AVEMillburn, NJ 07041-6800
Mailing AddressPo Box 805Millburn, NJ 07041-0805
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 16, 2021
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1740865302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC00999300

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sharaya Wallace-collins Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820557101
PECOS Enrollment IDI20260826004933
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sharaya Wallace-collins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
659 EAGLE ROCK AVE STE 4
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 39 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sharaya Wallace-collins's NPI number?

The NPI number for Sharaya Wallace-collins is 1740865302. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Sharaya Wallace-collins located?

Sharaya Wallace-collins practices at 300 Millburn Ave, Millburn, NJ 07041. The listed phone number is (908) 858-3006.

What is Sharaya Wallace-collins's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sharaya Wallace-collins enrolled in Medicare?

Yes. Sharaya Wallace-collins is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sharaya Wallace-collins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharaya Wallace-collins reassigns Medicare benefits to Keith Golin Phd LLC (West Orange, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sharaya Wallace-collins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharaya Wallace-collins accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Sharaya Wallace-collins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sharaya Wallace-collins was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.