Active NPI
Jaime Lynn Colatriano, LPC-INTERN
- Professional Counselor
- Dallas, TX
National Provider Identifier
1841413457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67178
- Practice address
- 17103 Preston Rd
#250
Dallas, TX 75248-1332 - Phone
- (972) 250-0498
- NPI assigned
- Apr 11, 2007
- Last updated
- Dec 2, 2010
- Sex
- Female
- 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 | 67178 | TX | Primary |
Addresses
Primary practice location
17103 Preston Rd
#250
Dallas, TX 75248-1332
Mailing address
4008 Shrike TRL
Roanoke, TX 76262-3392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 26, 2024 through Jan 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67178 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhonda M. Johnson PHD. PLLC | Professional | Past | Accepting new patients |
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.
-
dba Center for Counseling & Family Relationships
- Professional Counselor
- Fort Worth, TX
- NPI 1700057114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1841413457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 SHRIKE TRL",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762623392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17103 PRESTON RD",
"address_2": "#250",
"city": "DALLAS",
"state": "TX",
"postal_code": "752481332",
"telephone_number": "972-250-0498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLATRIANO",
"first_name": "JAIME",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LPC-INTERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.