Active NPI
Perry Martin
- Mental Health Counselor
- Richmond, TX
National Provider Identifier
1669217782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 90451
- Practice address
- 2215 N Belmont Dr
Richmond, TX 77469-5501 - Phone
- (832) 899-1650
- NPI assigned
- Jun 29, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 90451 | TX | Primary |
| Professional Counselor | 101YP2500X | 90451 | TX | |
| Counselor | 101Y00000X | 204606 | TX |
Addresses
Primary practice location
2215 N Belmont Dr
Richmond, TX 77469-5501
Mailing address
5570 Purple Meadow LN
Fulshear, TX 77441-1798
Phone (512) 481-8476
Other practice location 1
5570 Purple Meadow Ln
Fulshear, TX 77441-1798
Phone (512) 481-8476
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204606 | TX | MD | Counselor |
| 90451 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Medical Providers PC | Multi-Specialty | Past | Accepting new patients |
| Uplift Behavioral Health PC | Multi-Specialty | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Bethesda, MD
- NPI 1629740410
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1669217782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5570 PURPLE MEADOW LN",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774411798",
"telephone_number": "512-481-8476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 N BELMONT DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774695501",
"telephone_number": "832-899-1650"
}
],
"practiceLocations": [
{
"address_1": "5570 Purple Meadow Ln",
"address_purpose": "LOCATION",
"city": "Fulshear",
"state": "TX",
"postal_code": "774411798",
"country_code": "US",
"telephone_number": "512-481-8476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "PERRY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-29",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "90451",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "90451",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "TX",
"license": "204606",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.