Organization Active NPI

North Texas Addiction Counseling & Education, Inc.

  • Multi-Specialty Clinic/Center
  • Arlington, TX
National Provider Identifier
1285801589
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NORTH TEXAS ADDICTION COUNSELING & EDUCATION, INC.
Practice address
124 W Pioneer Pkwy Ste 120
Arlington, TX 76010
Phone
(817) 795-8278
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Leesa Nelson
Title
Executive Director
Phone
(682) 225-1441

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 756H TX
Multi-Specialty Clinic/Center 261QM1300X Primary
Methadone Clinic 261QM2800X

Addresses

Primary practice location

124 W Pioneer Pkwy Ste 120
Arlington, TX 76010

Mailing address

124 W Pioneer Pkwy Ste 120
Arlington, TX 76010-6146
Phone (817) 795-8278

Other practice location 1

3539 NW Jim Wright Fwy
Fort Worth, TX 76106-3201
Phone (682) 225-1441

Other practice location 2

1506 Mineral Wells Hwy
Weatherford, TX 76086-9220
Phone (817) 757-7555

Other identifiers 1

IdentifierTypeStateIssuer
162022101MedicaidTX

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
45D2170485North Texas Addiction Counseling & Education, Inc1506 Mineral Wells Hwy, Weatherford, TX 76086Certificate of waiverAug 12, 2027
45D2301137North Texas Addiction Counseling and124 W Pioneer Pkwy Ste 170, Arlington, TX 76010Certificate of waiverMar 20, 2028

National Provider Directory

National Provider Directory

Locations

124 W Pioneer Pkwy
Ste 120
Arlington, TX 76010
Phone (817) 795-8278

3539 NW Jim Wright Fwy
Fort Worth, TX 76106
Phone (682) 224-1441

1506 Mineral Wells Hwy
Weatherford, TX 76086
Phone (817) 757-7555

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1285801589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W PIONEER PKWY STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106146",
            "telephone_number": "817-795-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W PIONEER PKWY STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76010",
            "telephone_number": "817-795-8278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3539 NW Jim Wright Fwy",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761063201",
            "country_code": "US",
            "telephone_number": "682-225-1441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1506 Mineral Wells Hwy",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760869220",
            "country_code": "US",
            "telephone_number": "817-757-7555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH TEXAS ADDICTION COUNSELING & EDUCATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2021-07-12",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LEESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "682-225-1441"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "756H",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162022101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.