Individual provider Active NPI

Dreyton Wyatt, LPC

  • Professional Counselor
  • Colleyville, TX
National Provider Identifier
1982167995
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
86099 Issued in TX
Practice address
8090 Precinct Line Rd Ste 103
Colleyville, TX 76034-7677
Phone
(682) 200-9541
NPI assigned
Apr 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 86099 TX Primary

Addresses

Primary practice location

8090 Precinct Line Rd Ste 103
Colleyville, TX 76034-7677

Mailing address

8090 Precinct Line Rd Ste 103
Colleyville, TX 76034-7677
Phone (682) 200-9541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 15, 2024 through Mar 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86099TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Homestead Hope Counseling Services, LLC Professional Past Accepting new patients
The Missing Peace Autism Therapy Center, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1982167995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8090 PRECINCT LINE RD STE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347677",
            "telephone_number": "682-200-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8090 PRECINCT LINE RD STE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347677",
            "telephone_number": "682-200-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "DREYTON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.