Luis Emilio Colon Marquez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH20962 Issued in FL

Practice address

701 Petes LN
Davenport, FL 33837-8762

Phone

(787) 464-2592

NPI assigned

Oct 27, 2016

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Florida Mental Health Services LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1144901240

  Case Manager/Care Coordinator, FL

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1124570916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PETES LN",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378762",
            "telephone_number": "787-464-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PETES LN",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378762",
            "telephone_number": "787-464-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON MARQUEZ",
        "first_name": "LUIS",
        "middle_name": "EMILIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-27",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "0102603",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMS0102603",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cof Lovinn Kare
• Cogent Healthcare of Pensacola LLC
• Eric Eugene Cole, PA-C
• Angela K Coleman, CRNA
• Lionel Garland Collins, PHARM.D
• Hector Javier Colon
• Comfortable Care Dental Health Professionals, P.a.
• Comfortable Care Dental Health Professionals, P.a.
• Comfortable Care Dental Health Professionals, P.a.
• Comfortable Care Dental Health Professionals, P.a.

• All providers in Davenport, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.