JENNIFER COLLAER
NPI 1285970079
Social Worker in Idaho Falls, ID

Q: What is Jennifer Collaer's NPI number?

The NPI number for Jennifer Collaer is 1285970079. It was assigned to this individual provider in the NPPES registry on December 24, 2012. The provider is also known as Jennifer Gough.

Q: What is Jennifer Collaer's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Collaer was last updated on December 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 24, 2012PECOS Enrolled

1740 E 17TH ST, IDAHO FALLS, ID 83404(208) 716-4222 Get Directions Write a Review

NPPES record last updated: December 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Collaer NPPES

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

JENNIFER COLLAER (NPI 1285970079) is an individual social worker in Idaho Falls, Idaho and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1285970079

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJENNIFER COLLAER

Location Address1740 E 17TH STIdaho Falls, ID 83404-6375

Mailing Address1740 E 17th StIdaho Falls, ID 83404-6375 · (208) 716-4222

Phone(208) 716-4222

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 24, 2012

✔ NPI 1285970079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1740 E 17TH ST, Idaho Falls, ID 83404

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Other Names 1

Former Name (1)Jennifer Gough

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Collaer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941708168

PECOS Enrollment IDI20250807002917

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.

LISA J RUSSOM LSW

Social Worker