Active NPI
Jacob Thomas Collier, B.S, CHW
- Behavior Technician
- Casa Grande, AZ
National Provider Identifier
1699645085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CHW-0000000315
- Practice address
- 1927 N Trekell Rd, Suite D
Casa Grande, AZ 85122 - Phone
- (520) 876-9714
- Fax
- (520) 876-5154
- NPI assigned
- Nov 10, 2025
- Last updated
- Nov 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CHW-0000000315 | AZ | Primary |
Addresses
Primary practice location
1927 N Trekell Rd, Suite D
Casa Grande, AZ 85122
Mailing address
1927 N Trekell Rd, Suite D
Casa Grande, AZ 85122
Phone (520) 876-9714
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHW-0000000315 | AZ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1699645085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1927 N TREKELL RD, SUITE D",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "85122",
"telephone_number": "520-876-9714",
"fax_number": "520-876-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1927 N TREKELL RD, SUITE D",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "85122",
"telephone_number": "520-876-9714",
"fax_number": "520-876-5154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "JACOB",
"middle_name": "THOMAS",
"credential": "B.S, CHW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AZ",
"license": "CHW-0000000315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
- Samantha Louise Coby, PA-C
- Justin Garrett Cole, MD
- Collier Counseling Center LLC
- Collier Counseling Center NP (Collier Counseling Center)
- Annette Collier, M.S, LISAC, NCC
- Sarah Collins
- Colorado River Behavioral Health System, LLC (Transitional Living Center Recovery)
- Colorado River Behavioral Health System, LLC (Turtle Cove)
- Community Bridges, Inc (Casa Grande SRU)
- Community Bridges, Inc (CAsa Grande Outp Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.