Lindsey Colombo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

11452 Abner Ave
Fairfax, VA 22030-6029

Phone

(703) 623-5471

NPI assigned

Jul 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lindsey Gera Former name

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.

• Purple Willow Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Fairfax, VA
  • NPI 1366037517
  NPD Authorized official
• Wagner Autism Growth LLC

  • Behavior Analyst
  • Alexandria, VA
  • NPI 1881336105
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1699328872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11452 ABNER AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306029",
            "telephone_number": "703-623-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11452 ABNER AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306029",
            "telephone_number": "703-623-5471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5920 Founders Crossing Ct Unit 204",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223105465",
            "country_code": "US",
            "telephone_number": "708-846-8222",
            "fax_number": "312-929-0324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLOMBO",
        "first_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "GERA",
            "credential": "BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne Marie Colligan
• Crystal N Collins, LCSWC
• Heather A Collins, RNFA
• Lena Collins, MASSAGE THERAPIST
• Joyce Veneracion Colobong, NP
• Janielle Colon
• Colonial Home Care, LLC
• Jaclyn N Colton, OTD, OTR
• Tayler Coltrane
• Denise Coltson, PHD

• Behavior Analyst in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.