Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. WANDA IVETTE COLLAZO LPC
NPI 1336491653
Counselor - Mental Health in Fayetteville, NC

Active since October 10, 2012
590 CEDAR CREEK RD, SUITE 110, FAYETTEVILLE, NC 28312(910) 424-2020(910) 424-8435 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Wanda Ivette Collazo Lpc NPPES

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

MRS. WANDA IVETTE COLLAZO LPC (NPI 1336491653) is an individual mental health provider in Fayetteville, North Carolina, licensed in North Carolina (9258) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1336491653
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. WANDA IVETTE COLLAZOCredential: LPC
Location Address590 CEDAR CREEK RD, SUITE 110Fayetteville, NC 28312-6559
Mailing Address316 Shawcroft RdFayetteville, NC 28311-2934 · (910) 424-2020 · Fax (910) 424-8435
Fax(910) 424-8435
Sole ProprietorYes
Enumeration DateOctober 10, 2012
Last NPPES UpdateSeptember 18, 2026
✔ NPI 1336491653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NC · 9258✔ Licensed in VA · 0701011289✔ Licensed in SC · 8324✔ Licensed in TX · 92450
590 CEDAR CREEK RD, Fayetteville, NC 28312

Accepted Insurance

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 Wanda Collazo's NPI number?

The NPI number for Wanda Collazo is 1336491653. It was assigned to this individual provider in the NPPES registry on October 10, 2012.

Where is Wanda Collazo located?

Wanda Collazo practices at 590 Cedar Creek Rd Suite 110, Fayetteville, NC 28312. The listed phone number is (910) 424-2020.

What is Wanda Collazo's specialty?

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

What insurance does Wanda Collazo accept?

Health plans from Blue Cross and Blue Shield of NC list Wanda 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 Wanda Collazo was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.