Perry Lee Collins, LPC
Individual provider Active NPI Professional Counselor · Plainview, TX
NPI 1922148196 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1922148196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 13291 (TX)
- Practice address
- 2700 Yonkers St
Plainview, TX 79072-1826 - Phone
- (806) 293-2636
- Fax
- (806) 296-5804
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Owned or controlled facilities with NPI records 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regence Health Network Inc
Practice addresses (Care Compare)
125 W Park Ave
Hereford, TX 79045-4201
Phone (806) 364-7688
410 Canyon St
Plainview, TX 79072-7508
Phone (806) 291-0297
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Regence Health Network Inc |
Federally qualified health center | Corporate Director | Oct 26, 2022 |
| Regence Health Network Inc |
Federally qualified health center | Corporate Director | Oct 26, 2022 |
| Regence Health Network Inc |
Federally qualified health center | Corporate Director | Oct 26, 2022 |
| Regence Health Network Inc |
Federally qualified health center | Corporate Director | Oct 26, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231221003182 | TX | Practitioner - Mental Health Counselor | 0547625600 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13291 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regence Health Network Inc | Current |
Accepting new patients | |
| Regence Health Network Inc | Current |
Accepting new patients |
Locations
3113 Ross St
Amarillo, TX 79103
Phone (806) 374-7341
125 W Park Ave
Hereford, TX 79045
Phone (806) 364-4377
410 Canyon St
Plainview, TX 79072
Phone (806) 291-0297
Interoperability endpoints
- perry.collins.1@12120.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13291 | TX | Yes |
Addresses
Primary practice location
2700 Yonkers St
Plainview, TX 79072-1826
Mailing address
2700 Yonkers St
Plainview, TX 79072-1826
Phone (806) 293-2636
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84811L | Other | TX | BLUE CROSS BLUE SHIELD |
Other providers in Plainview, TX
- Childress County Hospital District
- City of Plainview
- City of Plainview
- Tricia J Clay
- Cassondra Collins
- Evan Colmenero
- Victoria Ariana Colmenero
- Connies Compassionate Care
- Covenant Health System
- Cheryl Ann Cox
All providers in Plainview, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.