Individual provider Active NPI

Rachel Elizabeth Kollwitz, LIAC, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Sierra Vista, AZ
National Provider Identifier
1124811765
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
155363 Issued in AZ
Practice address
4755 Campus Dr
Sierra Vista, AZ 85635-2449
Phone
(520) 458-3932
NPI assigned
May 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15725 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 155363 AZ Primary

Addresses

Primary practice location

4755 Campus Dr
Sierra Vista, AZ 85635-2449

Mailing address

1941 N Sanders Rd
Huachuca City, AZ 85616-8101
Phone (210) 803-1405

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
155363AZMDAddiction (Substance Use Disorder) Counselor
15725TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1124811765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 N SANDERS RD",
            "city": "HUACHUCA CITY",
            "state": "AZ",
            "postal_code": "856168101",
            "telephone_number": "210-803-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 CAMPUS DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352449",
            "telephone_number": "520-458-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLWITZ",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "LIAC, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15725",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "155363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.