Judith Ann Collier, RN, BSN, M.ED. LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC11458 Issued in AZ

Practice address

1141 E. Cooley St.
Ste 0
Show Low, AZ 85901

Phone

(928) 532-3238

Fax

(928) 532-3292

NPI assigned

Sep 20, 2006

Last updated

Mar 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Master of Education, Registered Nurse

State licenses

Practice roles

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

• Gabriel Outreach Inc

  dba White Mountain Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Show Low, AZ
  • NPI 1558013797
  NPD (past)
• White Mountain Counseling

  • Community/Behavioral Health Agency
  • Show Low, AZ
  • NPI 1912187030
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1053418301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3872",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859023872",
            "telephone_number": "928-532-3238",
            "fax_number": "928-532-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 E. COOLEY ST.",
            "address_2": "STE 0",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "85901",
            "telephone_number": "928-532-3238",
            "fax_number": "928-532-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, M.ED. LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-11458",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC11458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Carlisle Car Services LLC
• Savannah Christie, PHARMACIST
• Ryan Cluff, AU.D.
• Coast to Coast Air Ambulance, LLC
• Apache Colelay
• Constance L Collman, FNP
• Community Counseling Centers Inc (Pine View Behavioral Health Center)
• Community Medical Services Arizona-Private, LLC (Community Medical Services-Show Low)
• Community Medical Services Arizona-Private, LLC (Community Medical Services Show Low)
• Comprehensive Hospitalist Services of Arizona LLC

• Addiction (Substance Use Disorder) Counselor in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.