Healthcare Provider Details

I. General information

NPI: 1265677983
Provider Name (Legal Business Name): ELISABETH LIPPINCOTT COLLINS RN, MS, PMHNP - BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2008
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 W MAIN ST STE 102
RICHMOND VA
23220-4687
US

IV. Provider business mailing address

3835 N FREEWAY BLVD SUITE 100
SACRAMENTO CA
95834-1928
US

V. Phone/Fax

Practice location:
  • Phone: 804-369-8201
  • Fax:
Mailing address:
  • Phone: 916-576-7900
  • Fax: 916-285-0338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number0001324002
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number780831
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRXN.0103734-NP
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0994396-NP
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number22301
License Number StateCA
# 6
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024188757
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: