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BIANCA JAELYN COLLAZO
NPI 1720633183
Marriage & Family Therapist in Los Angeles, CA

Active since August 02, 2019
12099 W WASHINGTON BLVD, LOS ANGELES, CA 90066(818) 355-6780 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2019, Aug 2, 2019 (2 updates tracked since 2019).

About Bianca Jaelyn Collazo NPPES

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

BIANCA JAELYN COLLAZO (NPI 1720633183) is an individual marriage & family therapist in Los Angeles, California and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1720633183
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBIANCA JAELYN COLLAZO
Location Address12099 W WASHINGTON BLVDLos Angeles, CA 90066-5882
Mailing Address12099 W Washington BlvdLos Angeles, CA 90066-5882
Phone(818) 355-6780
Sole ProprietorYes
Enumeration DateAugust 2, 2019
Last NPPES UpdateDecember 5, 20192 updates tracked since enumeration
✔ NPI 1720633183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

12099 W WASHINGTON BLVD, Los Angeles, CA 90066
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

LEYLA KIUMEHR LMFT
Marriage & Family Therapist
12099 W WASHINGTON BLVD, 200
LOS ANGELES, CA 90066
Los Angeles County (310) 751-1175
MISS DENISE LEONIE LANDAVERDE B.A.
Rehabilitation Practitioner
12099 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 751-1194
MS. LISA FIELDS GROSS
Counselor
12099 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 751-1192
MELISSA GISELL FERNANDEZ CHISHOLM LCSW
Social Worker (Clinical)
12099 W WASHINGTON BLVD, SUITE 200
LOS ANGELES, CA 90066
Los Angeles County (310) 751-1171
MS. AMY DENAH FLEISS MSW
Social Worker (Clinical)
12099 W WASHINGTON BLVD, SUITE 200
LOS ANGELES, CA 90066
Los Angeles County (310) 751-1185
MISS NORMA CATALINA SALAZAR M.A.
Rehabilitation Practitioner
12099 W WASHINGTON BLVD, SUITE 200
LOS ANGELES, CA 90066
Los Angeles County (310) 751-1100
TIFFANY LARENA MATTHEWS
Marriage & Family Therapist
12099 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (818) 782-5130
MS. EMILY CLAIRE GILBERT M.F.T.
Counselor (Mental Health)
12099 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 751-1171

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 Bianca Collazo's NPI number?

The NPI number for Bianca Collazo is 1720633183. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Bianca Collazo located?

Bianca Collazo practices at 12099 W Washington Blvd, Los Angeles, CA 90066. The listed phone number is (818) 355-6780.

What is Bianca Collazo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Bianca Collazo was last updated on December 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.