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LARA AMALIA COLLIS M.A.
NPI 1194055400
Counselor in Seattle, WA

Active since January 08, 2010PECOS EnrolledAccepts Medicare Assignment
3712 S FERDINAND ST, SEATTLE, WA 98118(206) 723-2825(206) 282-3640 Get Directions Write a Review

NPPES record last updated: January 8, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lara Amalia Collis M.a. NPPES

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

LARA AMALIA COLLIS M.A. (NPI 1194055400) is an individual counselor in Seattle, Washington, licensed in Washington (RC00053143) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1194055400
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLARA AMALIA COLLISCredential: M.A.
Location Address3712 S FERDINAND STSeattle, WA 98118-1736
Mailing Address3801 W. Government WaySeattle, WA 98199 · (206) 723-2825 · Fax (206) 282-3640
Phone(206) 723-2825
Fax(206) 282-3640
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 8, 2010
✔ NPI 1194055400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · RC00053143
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3712 S FERDINAND ST, Seattle, WA 98118
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lara Amalia Collis M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315382249
PECOS Enrollment IDI20240229003763
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.

Medicare Billing Reassignment

Medicare enrollment records show Lara Collis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Greatland Mental Health, LLC
1,441 mi
Psychiatry
1407 W 31ST AVE, STE 201
Anchorage, AK 99503
  • Reassigned Medicare billing, Alaska enrollment
  • 14 clinicians in this Medicare group
NPI 1477743532 (907) 929-4009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

VANESSA LOVEJOY-GURON
Doula
3712 S FERDINAND ST
SEATTLE, WA 98118
King County (206) 510-5519
DEVI KALEOLANI MUDALIAR
Doula
3712 S FERDINAND ST
SEATTLE, WA 98118
King County (206) 851-1298
CHARLOTTE PFEIFFER LICSW
Social Worker (Clinical)
3712 S FERDINAND ST
SEATTLE, WA 98118
King County (206) 683-1548
HUMMINGBIRD INDIGENOUS FAMILY SERVICES
Doula
3712 S FERDINAND ST
SEATTLE, WA 98118
King County (206) 856-3631
KRISTIN LIGHTFEATHER
Doula
3712 S FERDINAND ST
SEATTLE, WA 98118
King County (206) 856-3631
ROSEANNA ALLEN-GARIBALDI
Social Worker
3712 S FERDINAND ST
SEATTLE, WA 98118
King County (425) 516-1745
UNITED INDIANS OF ALL TRIBES FOUNDATION
Case Management
3712 S FERDINAND ST
SEATTLE, WA 98118
King County (206) 723-6132

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 Lara Collis's NPI number?

The NPI number for Lara Collis is 1194055400. It was assigned to this individual provider in the NPPES registry on January 8, 2010.

Where is Lara Collis located?

Lara Collis practices at 3712 S Ferdinand St, Seattle, WA 98118. The listed phone number is (206) 723-2825.

What is Lara Collis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Lara Collis enrolled in Medicare?

Yes. Lara Collis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lara Collis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lara Collis reassigns Medicare benefits to Greatland Mental Health, LLC (Anchorage, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lara Collis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lara Collis accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lara Collis 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 Lara Collis was last updated on January 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.