1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Counselor
  6. NPI Profile

JEAN COLLINS-STUCKERT LISAC
NPI 1164727160
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Active since January 21, 2011
4545 N 36TH ST STE 121, PHOENIX, AZ 85018(602) 402-3676(602) 381-3676 Get Directions Write a Review

NPPES record last updated: January 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jean Collins-stuckert Lisac NPPES

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

JEAN COLLINS-STUCKERT LISAC (NPI 1164727160) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in Arizona (10022) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1164727160
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJEAN COLLINS-STUCKERTCredential: LISAC
Location Address4545 N 36TH ST STE 121Phoenix, AZ 85018-3473
Mailing Address4545 N 36th St Ste 121Phoenix, AZ 85018-3473 · (602) 402-3676 · Fax (602) 381-3676
Phone(602) 402-3676
Fax(602) 381-3676
Sole ProprietorYes
Enumeration DateJanuary 21, 2011
✔ NPI 1164727160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in AZ · 10022
4545 N 36TH ST STE 121, Phoenix, AZ 85018
Open in Google Maps ↗

Other Names 1

Professional Name (2)Jean Collins Lisac

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 Jean Collins-stuckert's NPI number?

The NPI number for Jean Collins-stuckert is 1164727160. It was assigned to this individual provider in the NPPES registry on January 21, 2011. The provider is also known as Jean Collins Lisac.

Where is Jean Collins-stuckert located?

Jean Collins-stuckert practices at 4545 N 36th St Ste 121, Phoenix, AZ 85018. The listed phone number is (602) 402-3676.

What is Jean Collins-stuckert's specialty?

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

When was this NPI record last updated?

The NPPES record for Jean Collins-stuckert was last updated on January 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.