Organization Active NPI

Solace Counseling Associates

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dallas, TX
National Provider Identifier
1144230186
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
3312 Issued in TX
Legal business name
SOLACE COUNSELING ASSOCIATES
Practice address
1475 Prudential Dr
Dallas, TX 75235-4109
Phone
(214) 522-4640
Fax
(214) 522-4650
NPI assigned
Aug 9, 2006
Last updated
Nov 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Mr. John Noel Odea, LPCNPI 1154330405
Title
Administrative Director
Phone
(214) 522-4640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 3312 TX Primary
Counselor 101Y00000X 14647 TX
Counselor 101Y00000X 15717 TX
Clinical Psychologist 103TC0700X 24933 TX
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X J4423 TX
Community/Behavioral Health Agency 251S00000X 2174-A TX

Addresses

Primary practice location

1475 Prudential Dr
Dallas, TX 75235-4109

Mailing address

1475 Prudential Dr
Dallas, TX 75235-4109
Phone (214) 522-4640

Other identifiers 1

IdentifierTypeStateIssuer
150488801MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2030618Solace Counseling1475 Prudential Drive, Dallas, TX 75235Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory

Locations

1475 Prudential Dr
Dallas, TX 75235
Phone (214) 522-4640

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1144230186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 PRUDENTIAL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752354109",
            "telephone_number": "214-522-4640",
            "fax_number": "214-522-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 PRUDENTIAL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752354109",
            "telephone_number": "214-522-4640",
            "fax_number": "214-522-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "ODEA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "214-522-4640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "3312",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "14647",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "15717",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "24933",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TX",
            "license": "J4423",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "2174-A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150488801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.