Individual provider Active NPI

Amber McCollister, MS, CCC-SLP

  • Speech-Language Pathologist
  • Enterprise, AL
National Provider Identifier
1003045550
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4846 Issued in AL
Practice address
1247 Rucker Blvd Ste 1
Enterprise, AL 36330-3630
Phone
(334) 316-0191
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4846 AL Primary

Addresses

Primary practice location

1247 Rucker Blvd Ste 1
Enterprise, AL 36330-3630

Mailing address

127 Patricia LN
Daleville, AL 36322-5309
Phone (334) 447-0456

Other practice location 1

1145 James Dr
Enterprise, AL 36330-2013
Phone (334) 447-0456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Abide Speech Therapy LLC Speech-Language Pathologist Past Accepting new patients
Acg Therapy Center, Inc Speech-Language Pathologist PastSince Dec 29, 2012 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1003045550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 PATRICIA LN",
            "city": "DALEVILLE",
            "state": "AL",
            "postal_code": "363225309",
            "telephone_number": "334-447-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 RUCKER BLVD STE 1",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363303630",
            "telephone_number": "334-316-0191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 James Dr",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "363302013",
            "country_code": "US",
            "telephone_number": "334-447-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOLLISTER",
        "first_name": "AMBER",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "4846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.