Individual provider Active NPI

Katrina L. Price-Petrey, LPC

  • Professional Counselor
  • Lubbock, TX
National Provider Identifier
1124690540
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80767 Issued in TX
Practice address
6501 University Ave Ste 600
Lubbock, TX 79413-5849
Phone
(806) 743-2424
Fax
(806) 743-9363
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 80767 TX Primary

Addresses

Primary practice location

6501 University Ave Ste 600
Lubbock, TX 79413-5849

Mailing address

4001 44TH St
Lubbock, TX 79413-3301
Phone (806) 543-5487

Other practice location 1

4001 44th St
Lubbock, TX 79413-3301
Phone (806) 543-5487

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CombestCentral@direct.myteamcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250622000081 TX Practitioner - Mental Health Counselor 2264944727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Tech University Health Sciences Center - Son - LubbockGroup PAC ID 9537158886, 30 clinicians

Practice addresses (Care Compare)

6501 University Ave
Suite 600
Lubbock, TX 79413-5849
Phone (806) 743-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80767TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center - Son - Lubbock CurrentSince Apr 17, 2025 Accepting new patients
Texas Tech University Health Sciences Center - Son - Lubbock Professional CurrentSince Apr 17, 2025 Accepting new patients

Locations

6501 University Ave
Ste 600
Lubbock, TX 79413
Phone (806) 743-2424

301 40th St
Lubbock, TX 79404
Phone (806) 743-9355

Interoperability endpoints

  • Direct secure messaging: combestcentral@direct.myteamcare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1124690540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 44TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133301",
            "telephone_number": "806-543-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 UNIVERSITY AVE STE 600",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135849",
            "telephone_number": "806-743-2424",
            "fax_number": "806-743-9363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 44th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794133301",
            "country_code": "US",
            "telephone_number": "806-543-5487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE-PETREY",
        "first_name": "KATRINA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CombestCentral@direct.myteamcare.com",
            "affiliation": "N",
            "endpointDescription": "SON Central Non-Clinical",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6501 University Ave Ste 600",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794135849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.