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MR. COURTNEY DWAYNE COLLIER CADC, NCC, MBA, CPRS
NPI 1114433281
Counselor - Addiction (Substance Use Disorder) in Jackson, TN

Active since December 27, 2017PECOS Enrolled
200 MARTIN LUTHER KING JR. DR., #7730, JACKSON, TN 38302(731) 300-1104 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2024, Dec 27, 2017 (2 updates tracked since 2017).

About Mr. Courtney Dwayne Collier Cadc, Ncc, Mba, Cprs NPPES

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

MR. COURTNEY DWAYNE COLLIER CADC, NCC, MBA, CPRS (NPI 1114433281) is an individual addiction (substance use disorder) provider in Jackson, Tennessee, licensed in Tennessee (1600) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114433281
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. COURTNEY DWAYNE COLLIERCredential: CADC, NCC, MBA, CPRS
Location Address200 MARTIN LUTHER KING JR. DR., #7730Jackson, TN 38302
Mailing Address200 Martin Luther King Jr. Dr., #7730Jackson, TN 38302 · (731) 300-1104
Phone(731) 300-1104
Sole ProprietorYes
Enumeration DateDecember 27, 2017
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1114433281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in TN · 1600✔ Licensed in TN · TN-068
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 7385 (TN)
Also ListedPeer SpecialistTaxonomy 175T00000X · License 000-1142 (TN)
200 MARTIN LUTHER KING JR. DR., Jackson, TN 38302
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Courtney Dwayne Collier Cadc, Ncc, Mba, Cprs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Courtney Collier's NPI number?

The NPI number for Courtney Collier is 1114433281. It was assigned to this individual provider in the NPPES registry on December 27, 2017.

Where is Courtney Collier located?

Courtney Collier practices at 200 Martin Luther King Jr. Dr. #7730, Jackson, TN 38302. The listed phone number is (731) 300-1104.

What is Courtney Collier's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Courtney Collier enrolled in Medicare?

Yes. Courtney Collier is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Courtney Collier was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.