Active NPI
Colleen Mariah Lama, M.S., CCC-SLP
- Behavior Analyst
- Tampa, FL
National Provider Identifier
1639429764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-20949
- Practice address
- 3333 W Bearss Ave
Tampa, FL 33618-2100 - Phone
- (813) 269-4879
- Fax
- (813) 433-5561
- NPI assigned
- Sep 17, 2012
- Last updated
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA12561 | FL | |
| Behavior Analyst | 103K00000X | 1-15-20949 | NU | Primary |
Addresses
Primary practice location
3333 W Bearss Ave
Tampa, FL 33618-2100
Mailing address
13908 Seaforth Manor Way
Tampa, FL 33613-1925
Phone (219) 241-3235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007181700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA12561 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lama Pediatric Therapy | Behavior Analyst | Past | Accepting new patients |
| Lama Pediatric Therapies | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Tampa, FL
- NPI 1447724612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1639429764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13908 SEAFORTH MANOR WAY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336131925",
"telephone_number": "219-241-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 W BEARSS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182100",
"telephone_number": "813-269-4879",
"fax_number": "813-433-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMA",
"first_name": "COLLEEN",
"middle_name": "MARIAH",
"name_prefix": "Miss",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-17",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA12561",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": "1-15-20949",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007181700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.