Marisa Collins, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005417 Issued in VA

Practice address

3710 Kecoughtan Rd
A
Hampton, VA 23669-4429

Phone

(757) 952-4217

NPI assigned

May 27, 2009

Last updated

Jul 17, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Speech Language Intervention Strategies, Speechlis, LLC

  • Speech-Language Pathologist
  • Hampton, VA
  • NPI 1255561833
  NPD Authorized official

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1861627366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 KECOUGHTAN RD",
            "address_2": "A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694429",
            "telephone_number": "757-952-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 KECOUGHTAN RD",
            "address_2": "A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694429",
            "telephone_number": "757-952-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARISA",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005417",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Donnell Coles
• Coliseum Pediatric Dentistry PLLC
• Coliseum Pediatric Dentistry Surgery Center
• Collaborative Health
• Lajuana M Collins, MD
• Jason Todd Combs, MD
• Comfort Haven Community LLC
• Commonwealth of Virginia State Board of Health (Hampton Health Department)
• Community Home Health LLC (Hidden Abilities)
• Commute 2Gether Transportation LLC

• Speech-Language Pathologist in Hampton, VA
• Providers in Hampton, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.