Individual provider Active NPI

Alice Deeds, LPC ASSOCIATE

  • Counselor
  • Amarillo, TX
National Provider Identifier
1104599281
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
85159 Issued in TX
Practice address
719 S Austin St
Amarillo, TX 79106-6714
Phone
(806) 640-4844
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 85159 TX Primary

Addresses

Primary practice location

719 S Austin St
Amarillo, TX 79106-6714

Mailing address

14101 Elk Canyon Rd
Amarillo, TX 79118-1254
Phone (806) 676-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
85159TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1104599281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 ELK CANYON RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791181254",
            "telephone_number": "806-676-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S AUSTIN ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791066714",
            "telephone_number": "806-640-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEDS",
        "first_name": "ALICE",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "85159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.