Individual provider Active NPI

Joseph Powell, LCDC, RSPS, PSS

  • Addiction (Substance Use Disorder) Counselor
  • Hurst, TX
National Provider Identifier
1154810208
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1997 Issued in TX
Practice address
1236 Southridge CT Ste 207
Hurst, TX 76053-4284
Phone
(877) 257-2282
Fax
(877) 257-2282
NPI assigned
May 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1997 TX Primary

Addresses

Primary practice location

1236 Southridge CT Ste 207
Hurst, TX 76053-4284

Mailing address

PO Box 3472
Coppell, TX 75019-9472
Phone (214) 476-6066

Other practice location 1

3116 Martin Luther King Jr Blvd
Dallas, TX 75215-2414
Phone (877) 257-2282

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Communities of Culture Addiction (Substance Use Disorder) CurrentSince Nov 16, 2021 Accepting new patients

Locations

1236 Southridge Ct
Ste 207
Hurst, TX 76053
Phone (877) 252-2282

8701 Bedford Euless Rd
Ste 600
Hurst, TX 76053

Organizations & group practices 1

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1154810208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3472",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750199472",
            "telephone_number": "214-476-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 SOUTHRIDGE CT STE 207",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534284",
            "telephone_number": "877-257-2282",
            "fax_number": "877-257-2282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3116 Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752152414",
            "country_code": "US",
            "telephone_number": "877-257-2282",
            "fax_number": "877-257-2282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JOSEPH",
        "credential": "LCDC, RSPS, PSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "1997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.