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MIRIAM DAMARIS COLLAZO
NPI 1013522846
Counselor - Mental Health in Worcester, MA

Active since September 09, 2020PECOS Enrolled
405 GROVE ST STE 201, WORCESTER, MA 01605(617) 862-2196(617) 862-2196 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miriam Damaris Collazo NPPES

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

MIRIAM DAMARIS COLLAZO (NPI 1013522846) is an individual mental health provider in Worcester, Massachusetts, licensed in Massachusetts (LMHC10000359) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013522846
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMIRIAM DAMARIS COLLAZO
Location Address405 GROVE ST STE 201Worcester, MA 01605-1270
Mailing Address405 Grove St Ste 201Worcester, MA 01605-1270 · (617) 862-2196 · Fax (617) 862-2196
Phone(617) 862-2196
Fax(617) 862-2196
Sole ProprietorNo
Enumeration DateSeptember 9, 2020
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
✔ NPI 1013522846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · LMHC10000359
405 GROVE ST STE 201, Worcester, MA 01605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miriam Damaris Collazo 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.

Other Providers at the Same Location NPPES 7

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

CHRISTINA LOCKE
Counselor (Mental Health)
405 GROVE ST STE 201
WORCESTER, MA 01605
Worcester County (508) 576-5598
MRS. JACKIE KABAHUMA ZZIWA FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
405 GROVE ST STE 201
WORCESTER, MA 01605
Worcester County (339) 666-8516
ROSEMARY MARTIN
Nurse Practitioner (Psychiatric/Mental Health)
405 GROVE ST STE 201
WORCESTER, MA 01605
Worcester County (855) 209-3255
JAMIERE TRIFILIO
Counselor (Mental Health)
405 GROVE ST STE 201
WORCESTER, MA 01605
Worcester County (508) 576-5598
ANTHONY VARIO
Social Worker (Clinical)
405 GROVE ST STE 201
WORCESTER, MA 01605
Worcester County (617) 379-0496
MEGHAN HOULIHAN
Counselor (Mental Health)
405 GROVE ST STE 201
WORCESTER, MA 01605
Worcester County (339) 666-8516
MR. RICHARD G O'GARR M.A.
Counselor (Mental Health)
405 GROVE ST STE 201
WORCESTER, MA 01605
Worcester County (617) 379-0496

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 Miriam Collazo's NPI number?

The NPI number for Miriam Collazo is 1013522846. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Where is Miriam Collazo located?

Miriam Collazo practices at 405 Grove St Ste 201, Worcester, MA 01605. The listed phone number is (617) 862-2196.

What is Miriam Collazo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Miriam Collazo enrolled in Medicare?

Yes. Miriam Collazo is registered in the Medicare PECOS enrollment system.

What insurance does Miriam Collazo accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Miriam Collazo 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 Miriam Collazo was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.