Active NPI
Colby Ray Perez
- Marriage & Family Therapist
- North Richland Hills, TX
National Provider Identifier
1568970549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 202027
- Practice address
- 6051 Davis Blvd # 821277
North Richland Hills, TX 76180-6385 - Phone
- (817) 851-2042
- NPI assigned
- Jan 12, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 202027 | TX | Primary |
Addresses
Primary practice location
6051 Davis Blvd # 821277
North Richland Hills, TX 76180-6385
Mailing address
6051 Davis Blvd # 821277
North Richland Hills, TX 76180-6385
Phone (817) 851-2042
Other practice location 1
326 S Edmonds Ln Ste 103
Lewisville, TX 75067-3507
Phone (972) 353-9404
Other practice location 2
8915 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 912-7132
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202027 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Kids Care | Professional | Current | Accepting new patients |
| Alliance Child & Family Solutions | Professional | Past | Accepting new patients |
Locations
6051 Davis Blvd
#821277
North Richlnd Hls, TX 76180
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1568970549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6051 DAVIS BLVD # 821277",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761806385",
"telephone_number": "817-851-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6051 DAVIS BLVD # 821277",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761806385",
"telephone_number": "817-851-2042"
}
],
"practiceLocations": [
{
"address_1": "326 S Edmonds Ln Ste 103",
"address_purpose": "LOCATION",
"city": "Lewisville",
"state": "TX",
"postal_code": "750673507",
"country_code": "US",
"telephone_number": "972-353-9404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8915 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "75235",
"country_code": "US",
"telephone_number": "214-912-7132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "COLBY",
"middle_name": "RAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-12",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "202027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Richland Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.