Jo Ann Collins-Walters, LPC, LISAC, CCTP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-16575 Issued in AZ

Practice address

4447 E Broadway Rd Ste 106
Mesa, AZ 85206-2018

Phone

(480) 964-3914

Fax

(480) 300-4128

NPI assigned

Jun 24, 2009

Last updated

Mar 11, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Saguaro Springs Healing Center, PLLC

  • Professional Counselor
  • Mesa, AZ
  • NPI 1255969366

  Addiction (Substance Use Disorder)

  NPD
• Compass Mental Health, LLC

  • Emergency Care Clinic/Center
  • Phoenix, AZ
  • NPI 1881737849
  NPD (past)
• Composs Mental Health

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1316279680
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1649408006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 E BROADWAY RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062018",
            "telephone_number": "480-964-3914",
            "fax_number": "480-300-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 E BROADWAY RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062018",
            "telephone_number": "480-964-3914",
            "fax_number": "480-300-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS-WALTERS",
        "first_name": "JO",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LPC, LISAC, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-15061",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-16575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joann@sshc-az.com",
            "affiliation": "N",
            "endpointDescription": "Work e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4447 E Broadway Rd Ste 106",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852062018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joanna Colleran
• Clarissa Collier
• Jason S Collier, PA-C
• Leah Collier, N.D.
• Collins Homecare LLC
• Addison Collins, PA-C
• Andrew K Collins, M.D.
• Candyce Collins, PHARMD
• David Stanley Collins Jr., DO
• Jeffrey Aaron Collins, ATC

• Professional Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.