Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colin Waters

Individual provider Professional Counselor · NPI 1104279413

Colin Waters is a Mental Health Counselor in Ammon, Idaho. Qualified in 2016, 10 years ago. Practices with Pearl Health Clinic, a 38-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
10
Licensed in
ID
In the registry since
2016

Practice location Address checks out

2705 E 17th St
Ammon, ID 83406-6601
Phone: (208) 346-7500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-6309 (ID)

Record details

NPI number1104279413
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 21, 2016
Last updated in NPPESJuly 21, 2016
Mailing address2705 E 17th St, Ammon, ID 83406-6601

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Pearl Health Clinic — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ammon