Diverse Behavioral Health Group

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DIVERSE BEHAVIORAL HEALTH GROUP

Practice address

11971 N Grand Pkwy E Ste 200
New Caney, TX 77357-1828

Phone

(346) 471-5200

Fax

(346) 474-0990

NPI assigned

Jul 13, 2022

Last updated

May 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimm Marie Perez, PHD, LPA, LPC-SNPI 1013321090

Title

Owner

Phone

(346) 471-5200

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimm Marie Perez, PHD, LPA, LPC- S

  • Mental Health Counselor
  • New Caney, TX
  • NPI 1013321090
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1861126005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11971 N GRAND PKWY E STE 200207",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773571827",
            "telephone_number": "346-471-5200",
            "fax_number": "346-474-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11971 N GRAND PKWY E STE 200",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773571828",
            "telephone_number": "346-471-5200",
            "fax_number": "346-474-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE BEHAVIORAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "KIMM",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-471-5200",
        "authorized_official_credential": "PHD, LPA, LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336059606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eugene Deloach Jr., DPT
• Dental Health Associates of Texas, PC (Caney Crossing Dental Care)
• Dental Health Center Two PLLC
• Diaa Zora, DDS, PC
• Cynthia Dieball, LMT
• Jan Dulay, PT, DPT
• Marsha Edwards, RN
• Tea Edwards, OWNER
• Fatima Criseyda Escalante-Cox, NP-C
• Jermain James Eskine, QMHP CSS

• Mental Health Counselor in New Caney, TX
• Providers in New Caney, 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 May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.