Healthcare Provider Details

I. General information

NPI: 1316720436
Provider Name (Legal Business Name): KRISTEN COLLINS PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN R. COLLINS MS, PLPC

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 SAINT PETERS CENTRE BLVD STE B
SAINT PETERS MO
63376-1653
US

IV. Provider business mailing address

150 SAINT PETERS CENTRE BLVD STE B
SAINT PETERS MO
63376-1653
US

V. Phone/Fax

Practice location:
  • Phone: 314-328-5039
  • Fax:
Mailing address:
  • Phone: 314-328-5039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2025043011
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: