Active NPI
Solace Counseling Associates
- Substance Use Disorder Rehabilitation Clinic/Center
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 3312
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Noel Odea, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150488801 | Medicaid | TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2030618 | Solace Counseling | Certificate of waiver | Sep 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Counselor
- Dallas, TX
- NPI 1154330405
-
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
- NPI 1114653557
-
- Counselor
- Dallas, TX
- NPI 1417315128
-
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
- NPI 1174740351
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.