Mariely Colon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6900 Tavistock Lakes Blvd
Orlando, FL 32827-7589

Phone

(407) 541-7965

Fax

(407) 307-2328

NPI assigned

Dec 29, 2012

Last updated

Aug 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Behavioral Multidisciplinary Center Corp

  dba Behavioral and Mental Health Services

  • Behavior Analyst
  • Kissimmee, FL
  • NPI 1679190078
  NPD Authorized official

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

{
    "created_epoch": "1356739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1235475807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 WAGON WHEEL TRAIL",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "34772",
            "telephone_number": "407-541-7965",
            "fax_number": "407-307-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277589",
            "telephone_number": "407-541-7965",
            "fax_number": "407-307-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "MARIELY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-29",
        "last_updated": "2022-08-31",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaity Colon, PA
• Lilibet Colon, LCSW
• Liz Colon, B.S.
• Marcos Thomas Colon, M.D.
• Maria Colon
• Marisa Colon, MS/EDS
• Miosotis Colon
• Myrtea Carmen Colon, MA
• Natalia Colon
• Ricardo Luis Colon, M.D.

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.