Active NPI
Trey Colburn
- Counselor
- San Tan Valley, AZ
National Provider Identifier
1679447957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LAC-23583
- Practice address
- 3550 W Phillips Rd
San Tan Valley, AZ 85144-9578 - Phone
- (480) 246-2936
- NPI assigned
- Oct 1, 2025
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC-23583 | AZ | Primary |
Addresses
Primary practice location
3550 W Phillips Rd
San Tan Valley, AZ 85144-9578
Mailing address
3550 W Phillips Rd
San Tan Valley, AZ 85144-9578
Phone (480) 246-2936
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 |
|---|---|---|---|
| LAC-23583 | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1679447957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 W PHILLIPS RD",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851449578",
"telephone_number": "480-246-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 W PHILLIPS RD",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851449578",
"telephone_number": "480-246-2936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBURN",
"first_name": "TREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-01",
"last_updated": "2025-10-01",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC-23583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.