Peyton Macenzie Collum, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

85109 Issued in TX

Practice address

13720 Midway Rd Ste 106207
Dallas, TX 75244-4313

Phone

(214) 949-7774

NPI assigned

Sep 29, 2022

Last updated

Sep 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1699499053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 KINGS HWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752083642",
            "telephone_number": "214-404-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 MIDWAY RD STE 106207",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444313",
            "telephone_number": "214-949-7774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 S Tyler St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752084934",
            "country_code": "US",
            "telephone_number": "214-949-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLUM",
        "first_name": "PEYTON",
        "middle_name": "MACENZIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Ann Collins, OTR
• Wendy Walker Collins, PT, MPT, OCS
• Robert W Collison, MD
• Chad Collom, RN, MSN, PMHNP-BC
• Faith Collum, PHARMD
• Alexandra Marie Colon
• Caleb Colon, LSA
• Jennifer L.W. Colon, LPC, ATR
• Laura Anne Colon, APRN-CNP
• Luis Felipe Colon IV, MD

• Mental Health Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.