Active NPI
Colton Lee Cherryhomes, MS, LPC-ASSOCIATE
- Professional Counselor
- Weatherford, TX
National Provider Identifier
1649950718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 92083
- Practice address
- 106 Austin Ave Ste 207
Weatherford, TX 76086-3381 - Phone
- (817) 629-4064
- NPI assigned
- Jul 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 92083 | TX | Primary |
Addresses
Primary practice location
106 Austin Ave Ste 207
Weatherford, TX 76086-3381
Mailing address
106 Austin Ave Ste 207
Weatherford, TX 76086-3381
Phone (817) 629-4064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92083 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1649950718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 AUSTIN AVE STE 207",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760863381",
"telephone_number": "817-629-4064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 AUSTIN AVE STE 207",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760863381",
"telephone_number": "817-629-4064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRYHOMES",
"first_name": "COLTON",
"middle_name": "LEE",
"credential": "MS, LPC-ASSOCIATE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-24",
"last_updated": "2023-07-24",
"certification_date": "2023-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "92083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.