Amy R Collier, LCSW, LCAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006165A Issued in IN

Practice address

2702 Glendale Blvd
Valparaiso, IN 46383-3982

Phone

(219) 386-3320

NPI assigned

Aug 1, 2011

Last updated

Feb 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heal & Blossom Counseling LLC

  • Clinical Social Worker
  • Valparaiso, IN
  • NPI 1811702988
  Medicare reassignment NPD Authorized official
• Family Focus, Inc

  dba Life Focus Services

  • Adult Mental Health Clinic/Center
  • Valparaiso, IN
  • NPI 1437763760
  NPD (past)
• Focus Counseling, Inc.

  • Counselor
  • Valparaiso, IN
  • NPI 1083992705
  NPD (past)

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1205114857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 GLENDALE BLVD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833982",
            "telephone_number": "219-386-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 GLENDALE BLVD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833982",
            "telephone_number": "219-386-3320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Morthland Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463854638",
            "country_code": "US",
            "telephone_number": "219-462-9200",
            "fax_number": "219-465-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "LCSW, LCAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000593A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006165A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Coban, RBT
• Nicoletta Coduti, MS, RD
• Lindsey Cogdill
• Robert Tyrone Coican, RPH
• Jessica Coleman
• Kimberly Suzette Collins-Pitts, PTA
• Jeannette Elise Colon-Marin, M.D.
• Illiana Comanse
• Jayden Comanse
• Comforcare Valparaiso in Inc

• Clinical Social Worker in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.