Organization Active NPI

Alafia Behavioral Support Services, LLC

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1205502796
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALAFIA BEHAVIORAL SUPPORT SERVICES, LLC
Practice address
10039 Bissonnet St Ste 318
Houston, TX 77036-7840
Phone
(434) 549-5378
NPI assigned
Aug 17, 2021
Last updated
Mar 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Ndidi Adeyanju
Title
Executive Director
Phone
(919) 260-4757

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Behavior Analyst 103K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10039 Bissonnet St Ste 318
Houston, TX 77036-7840

Mailing address

4300 Kindle Wood St
Raleigh, NC 27616-8898
Phone (919) 260-4757

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.alafiabss.com

National Provider Directory

National Provider Directory
Tax ID family
Alafia Behavioral Support Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10039 Bissonnet St
Ste 318
Houston, TX 77036
Phone (434) 549-5378

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1205502796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 KINDLE WOOD ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168898",
            "telephone_number": "919-260-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10039 BISSONNET ST STE 318",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367840",
            "telephone_number": "434-549-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAFIA BEHAVIORAL SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "ADEYANJU",
        "authorized_official_first_name": "NDIDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-260-4757"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.alafiabss.com",
            "affiliation": "N",
            "address_1": "625 Piney Forest Rd Ste 301E",
            "city": "Danville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245402869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.