Jennifer Collazo

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

12030 SW 129TH CT Ste 211
Miami, FL 33186-4584

Phone

(305) 639-8760

Fax

(786) 953-5144

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Believe and Trust TCM LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1861037384
  NPD
• Believe and Trust TCM LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1497612899
  NPD (past)

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1285364646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14921 SW 283RD ST APT 206",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331584",
            "telephone_number": "305-731-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 SW 129TH CT STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864584",
            "telephone_number": "305-639-8760",
            "fax_number": "786-953-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ailen Collazo Vazquez
• Aylem Collazo-Amador, BCBA/MH COUNSELING
• Alejandra Collazo, NURSE PRACTITIONER
• Hector Collazo, MD
• Jazlyn Merida Collazo, MD, MBA, MPH
• Maria Elena Collazo, PSY.D
• Mariela Collazo, RBT
• Matthew Collazo
• Melanie Collazo, MS, LMHC
• Mercy Collazo

• Case Manager/Care Coordinator in Miami, FL
• Providers in Miami, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.