Individual provider Active NPI

Colette L Beetz, PSY.D.

  • Psychologist
  • Venus, TX
National Provider Identifier
1710664685
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
39525 Issued in TX
Practice address
PO Box 396
Venus, TX 76084-0396
Phone
(402) 730-3080
NPI assigned
Jun 30, 2023
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2164 AL
Psychologist 103T00000X 39525 TX Primary

Addresses

Primary practice location

PO Box 396
Venus, TX 76084-0396

Mailing address

PO Box 396
Venus, TX 76084-0396
Phone (402) 730-3080

Other practice location 1

4925 Greenville Ave Ste 1050
Dallas, TX 75206-4084
Phone (214) 918-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250506003531 TX Practitioner - Clinical Psychologist 4880111590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carewright Clinical Services, PLLCGroup PAC ID 7315119518, 33 clinicians

Practice addresses (Care Compare)

4925 Greenville Ave
Suite 1050
Dallas, TX 75206-4084
Phone (214) 918-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39525TXMDPsychologist
2164ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carewright Clinical Services, PLLC Psychologist CurrentSince Apr 1, 2025 Accepting new patients

Locations

4925 Greenville Ave
Ste 1050
Dallas, TX 75206

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1710664685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 396",
            "city": "VENUS",
            "state": "TX",
            "postal_code": "760840396",
            "telephone_number": "402-730-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 396",
            "city": "VENUS",
            "state": "TX",
            "postal_code": "760840396",
            "telephone_number": "402-730-3080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4925 Greenville Ave Ste 1050",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752064084",
            "country_code": "US",
            "telephone_number": "214-918-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEETZ",
        "first_name": "COLETTE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "2164",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "39525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venus, TX

Sources for this page

Verify at the official NPI Registry.