Active NPI
Linda Kaye Colbert, ED.D.
- Professional Counselor
- Galveston, TX
National Provider Identifier
1952531402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20305
- Practice address
- 2920 Avenue M 1/2
Galveston, TX 77550-4350 - Phone
- (409) 771-5258
- NPI assigned
- Jul 17, 2009
- Last updated
- Nov 23, 2021
- 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 | 20305 | TX | Primary |
Addresses
Primary practice location
2920 Avenue M 1/2
Galveston, TX 77550-4350
Mailing address
6810 Falcon PT
Dickinson, TX 77539-4302
Phone (409) 771-5258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1797193 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240614001978 | TX | Practitioner - Mental Health Counselor | 1557804861 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20305 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1952531402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6810 FALCON PT",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775394302",
"telephone_number": "409-771-5258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 AVENUE M 1/2",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775504350",
"telephone_number": "409-771-5258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBERT",
"first_name": "LINDA",
"middle_name": "KAYE",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-17",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "20305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1797193",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.