MARISOL COLLAZO
NPI 1689919060
Counselor - Mental Health in Kissimmee, FL

Active since December 11, 2012PECOS Enrolled
3501 W VINE ST STE 517, KISSIMMEE, FL 34741(407) 552-5444(407) 988-1600 Get Directions Write a Review

NPPES record last updated: August 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2024, Sep 9, 2022 (2 updates tracked since 2022).

About Marisol Collazo NPPES

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

MARISOL COLLAZO (NPI 1689919060) is an individual mental health provider in Kissimmee, Florida and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689919060
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARISOL COLLAZO
Location Address3501 W VINE ST STE 517Kissimmee, FL 34741-4601
Mailing Address20 Lakepointe CirKissimmee, FL 34743-8113 · (407) 744-8599 · Fax (407) 988-1600
Fax(407) 988-1600
Sole ProprietorNo
Enumeration DateDecember 11, 2012
Last NPPES UpdateAugust 11, 20242 updates tracked since enumeration
NPPES CertifiedAugust 11, 2024
✔ NPI 1689919060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3501 W VINE ST STE 517, Kissimmee, FL 34741

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisol 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.

Medicare Billing Reassignment

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

Mental Health
7200 LAKE ELLENOR DR STE 252
Orlando, FL 32809
  • Reassigned Medicare billing, Florida enrollment

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

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 Marisol Collazo's NPI number?

The NPI number for Marisol Collazo is 1689919060. It was assigned to this individual provider in the NPPES registry on December 11, 2012.

Where is Marisol Collazo located?

Marisol Collazo practices at 3501 W Vine St Ste 517, Kissimmee, FL 34741. The listed phone number is (407) 552-5444.

What is Marisol Collazo's specialty?

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

Is Marisol Collazo enrolled in Medicare?

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

Which organization bills Medicare for Marisol Collazo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisol Collazo reassigns Medicare benefits to Me Time Therapy LLC (Orlando, FL). 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 Marisol Collazo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marisol Collazo accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Marisol 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 Marisol Collazo was last updated on August 11, 2024. 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.