COLIN WATERS
NPI 1104279413
Counselor - Professional in Ammon, ID

Active since July 21, 2016PECOS EnrolledAccepts Medicare Assignment
2705 E 17TH ST, AMMON, ID 83406(208) 346-7500 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colin Waters NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLIN WATERS (NPI 1104279413) is an individual professional provider in Ammon, Idaho, licensed in Idaho (LPC-6309) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104279413
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCOLIN WATERS
Location Address2705 E 17TH STAmmon, ID 83406-6601
Mailing Address2705 E 17th StAmmon, ID 83406-6601 · (208) 346-7500
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 21, 2016
NPI 1104279413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in ID · LPC-6309
2705 E 17TH ST, Ammon, ID 83406

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Colin Waters is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698111995
PECOS Enrollment IDI20240308002440
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Counselor (Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Peer Specialist
2705 E 17TH ST
AMMON, ID 83406
Counselor (Professional)
2705 E 17TH ST
AMMON, ID 83406
Social Worker
2705 E 17TH ST
AMMON, ID 83406
Counselor (Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Social Worker
2705 E 17TH ST
AMMON, ID 83406
Social Worker
2705 E 17TH ST
AMMON, ID 83406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colin Waters's NPI number?

The NPI number for Colin Waters is 1104279413. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Where is Colin Waters located?

Colin Waters practices at 2705 E 17th St, Ammon, ID 83406. The listed phone number is (208) 346-7500.

What is Colin Waters's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Colin Waters enrolled in Medicare?

Yes. Colin Waters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Colin Waters accept?

Health plans from PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Colin Waters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colin Waters was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.