Individual provider Active NPI

Annette Collier, M.S, LISAC, NCC

  • Counselor
  • Casa Grande, AZ
National Provider Identifier
1750902243
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
15159 Issued in AZ
Practice address
1927 N Trekell Rd Ste D
Casa Grande, AZ 85122-1762
Phone
(520) 876-9714
Fax
(520) 876-5154
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15159 AZ
Professional Counselor 101YP2500X 770887 AZ
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 15159 AZ Primary

Addresses

Primary practice location

1927 N Trekell Rd Ste D
Casa Grande, AZ 85122-1762

Mailing address

1927 N Trekell Rd Ste D
Casa Grande, AZ 85122-1762
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
Master of Science

State licenses

LicenseStateTypeSpecialty
15159AZMDCounselor
770887AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Counseling Center NP Counselor Current Accepting new patients
Collier Counseling Center LLC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

1927 N Trekell Rd
Ste D
Casa Grande, AZ 85122
Phone (520) 836-9788

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1750902243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 N TREKELL RD STE D",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221762",
            "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 STE D",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221762",
            "telephone_number": "520-876-9714",
            "fax_number": "520-876-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "ANNETTE",
        "credential": "M.S, LISAC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "15159",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "770887",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "AZ",
            "license": "15159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.